| Regimental number | 7624 |
| Place of birth | Wanganui, New Zealand |
| Religion | Church of England |
| Occupation | Canvasser |
| Address | South Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs. L.M. Chitham, Clarence Street, South Brisbane, Queensland |
| Enlistment date | 25 April 1917 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/26/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 20 October 1918 |