| Regimental number | 121 |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Tushingham near Whitchurch, England |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Mother, Mrs M Chidlow, Tushingham near Whitchurch, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, A Company |
| AWM Embarkation Roll number | 23/38/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Fate | No details of fate entered on Nominal Roll |