| Regimental number | 1362 |
| Place of birth | Norfolk England |
| Religion | Church of England |
| Occupation | Teamster |
| Address | Barrabup Bush, Western Australia |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs Ellen Maria Chilvers, Barrabup Bush, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Section C |
| AWM Embarkation Roll number | 26/47/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board Transport A31 Ajana on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
