| Regimental number | 69 |
| Place of birth | Wallan Wallan, Victoria |
| Religion | Church of England |
| Occupation | Hospital worker |
| Address | 1 Castlereagh Street, Redfern, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mrs Chapman, 1 Castlereagh Street, Redfern, New South Wales |
| Enlistment date | 18 August 1914 |
| Rank on enlistment | Private |
| Unit name | 2nd Field Ambulance |
| AWM Embarkation Roll number | 26/45/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 19 October 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Field Ambulance |
| Fate | Returned to Australia 14 August 1915 |
