| Regimental number | 4997 |
| Place of birth | Jarrahdale, Western Australia |
| Religion | Methodist |
| Occupation | Sawyer |
| Address | Jarrahdale, Western Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Charlotte Chisholm, Jarrahdale, Western Australia |
| Enlistment date | 20 March 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A48 Seang Bee on 18 July 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 17 June 1918 |
