| Regimental number | 7133 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Packer |
| Address | North Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs F M Chapman, Lillis Street, North Sydney, New South Wales |
| Enlistment date | 6 August 1917 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/34/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 8 January 1919 |
