| Regimental number | 2131 |
| Place of birth | Adelaide, South Australia |
| Religion | Baptist |
| Occupation | Fitter |
| Address | 223 Jeffcott Street, North Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, Wm George Church, 223 Jeffcott Street, North Adelaide, South Australia |
| Previous military service | 34th Battery Australian Field Artillery |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 3, Military District 4 |
| AWM Embarkation Roll number | 13/31/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board TRANSPORT A7 Medic on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 3rd Field Artillery Brigade |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
