| Regimental number | 4071 |
| Place of birth | Beaufort, Victoria |
| Religion | Church of England |
| Occupation | Miner |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Father, A Chibnall, Snake Valley, W Ballarat, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/49/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
