| Regimental number | 2013 |
| Place of birth | Cornwall England |
| Religion | Church of England |
| Occupation | Motor mechanic |
| Address | 'Kerura', 24 Boyle Street, Mosman, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Kate Churcher, 'Kerura', 24 Boyle Street, Mosman, New South Wales |
| Previous military service | 43rd Infantry |
| Enlistment date | 18 February 1916 |
| Date of enlistment from Nominal Roll | 7 June 1916 |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/72/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A37 Barambah on 23 June 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | AIF Headquarters |
| Fate | Returned to Australia 24 July 1919 |
