| Regimental number | 4082 |
| Place of birth | Falmouth England |
| Religion | Church of England |
| Occupation | Railway employee |
| Address | 88 Chalmers Street, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs J Chard c/o Miss Robins, Tilbury Docks, Plymouth, England |
| Enlistment date | 3 November 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on 8 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 24 June 1916 |
