| Regimental number | 696 |
| Place of birth | Moonta, South Australia |
| Religion | Methodist |
| Occupation | Fitter |
| Address | Goodwood Road, Clarence Park, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Ellen Chappell, Goodwood Road, Clarence Park, South Australia |
| Enlistment date | 28 September 1915 |
| Rank on enlistment | Private |
| Unit name | Australian Remount Unit 1, Squadron 3 |
| AWM Embarkation Roll number | 28/2/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A67 Orsova on 12 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Remounts |
| Fate | Returned to Australia 18 October 1916 |