| Regimental number | 4110 |
| Place of birth | Launceston, Tasmania |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | Coomera |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Mother, Mrs Ellen Chapman, c/o Mrs Olive O'Connor, Sander Stret, Launceston, Tasmania |
| Enlistment date | 23 September 1915 |
| Date of enlistment from Nominal Roll | 25 September 1915 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/43/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A73 Commonwealth on 28 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Returned to Australia 31 October 1917 |
