
| Regimental number | 1003 |
| Place of birth | Richmond, Victoria |
| Religion | Presbyterian |
| Occupation | Fireman |
| Address | 35 Fawkner Street, South Yarra, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | R Chisholm, 35 Fawkner Street, South Yarra, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Section A |
| AWM Embarkation Roll number | 26/47/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A35 Berrima on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 4th Field Ambulance |
| Recommendations (Medals and Awards) |
Unspecified Recommendation date: |
| Fate | Killed in Action |
| Age at death from cemetery records | 26 |
| Place of burial | Dartmoor Cemetery (Plot I, Row A, Grave No. 1), Becordel-Becourt, France |
| Panel number, Roll of Honour, Australian War Memorial | 182 |
| Miscellaneous information from cemetery records | Parents: Roderick and Isabella CHISHOLM, "Strathglass", 35 Fawkner Street, South Yarra, Victoria |