| Regimental number | 4758 |
| Place of birth | Wollongong New South Wales |
| Religion | Church of England |
| Occupation | Miner |
| Address | Main Road, Corrimal, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs A Chapman, Main Road, Corrimal, New South Wales |
| Enlistment date | 5 January 1916 |
| Date of enlistment from Nominal Roll | 8 December 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on 8 March 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia 12 May 1919 |
