| Regimental number | 3267 |
| Place of birth | Goulburn New South Wales |
| School | Goulburn, New South Wales |
| Other training | Nil |
| Religion | Church of England |
| Occupation | Coach painter |
| Address | 501 Riley Street, Surry Hills, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs E Chard, 501 Riley Street, Surry Hills, Sydney, New South Wales |
| Previous military service | Nil |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/21/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A17 Port Lincoln on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 56th Battalion |
| Other details from Roll of Honour Circular | Died of illness |
| Fate | Died of disease |
| Place of death or wounding | Le Rouen, France |
| Age at death | 40 |
| Place of burial | St. Sever Cemetery Extension (Block P, Plot III, Row U, Grave No. 2A), Rouen, France |
| Panel number, Roll of Honour, Australian War Memorial | 162 |