| Regimental number | 8963 |
| Religion | Methodist |
| Occupation | Mercer's assistant |
| Address | Petersburg, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs R A Chennell, Petersburg, South Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 1st Australian Stationary Hospital, 14th Reinforcement |
| AWM Embarkation Roll number | 26/103/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A12 Saldanha on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Casualty Clearing Station |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
