| Regimental number | 9993 |
| Religion | Church of England |
| Occupation | Motorman |
| Address | Victoria Park, Western Australia |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs M E Chisnall, 397 Albany Road, Victoria Park, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Australian Stationary Hospital, 16th Reinforcement |
| AWM Embarkation Roll number | 26/103/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A9 Shropshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Field Ambulance |
| Fate | Killed in Action |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
