| Regimental number | 4164 |
| Place of birth | Murwillumbah New South Wales |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs E Chilcott, Crystal Creek, Mursillumbah, New South Wales |
| Enlistment date | 31 August 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 3 January 1916 |
| Regimental number from Nominal Roll | 4164A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Pioneer Battalion |
| Fate | Returned to Australia 12 March 1919 |
