| Regimental number | 4999 |
| Place of birth | Willawarrin New South Wales |
| Religion | Church of England |
| Occupation | Carter |
| Address | Bowraville, Nambucca River, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs Annie Chapman, Bowraville, Nambucca River, New South Wales |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | 1st Field Company Engineers, Reinforcement 13 |
| AWM Embarkation Roll number | 14/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 14th Field Company Engineers |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | West Kempsey Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
