| Regimental number | 3716 |
| Place of birth | Uraidla, South Australia |
| Religion | Methodist |
| Occupation | Gardener |
| Address | Summertown, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, J Church, Summertown, South Australia |
| Enlistment date | 10 August 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/27/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Malwa on 2 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia 21 July 1917 |
| Date of death | 27 August 1945 |
| Place of burial | St Georges Cemetery |