| Regimental number | 2408 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Slaughterman |
| Address | 207 Glebe Road, Glebe, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Nellie Chicken, 207 Glebe Road, Glebe, Sydney, New South Wales |
| Enlistment date | 17 January 1916 |
| Date of enlistment from Nominal Roll | 10 January 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 16th Reinforcement |
| AWM Embarkation Roll number | 10/6/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A25 Anglo Egyptian on 12 May 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 15th Light Horse Regiment |
| Fate | Returned to Australia 24 July 1919 |