| Regimental number | 5066 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 352 Punt Road, South Yarra, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs V M Chauncy, 352 Punt Road, South Yarra, Victoria |
| Enlistment date | 11 January 1916 |
| Date of enlistment from Nominal Roll | 14 January 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 59th Battalion |
| Fate | Returned to Australia 15 May 1919 |
