| Regimental number | 3713 |
| Place of birth | Broken Hill New South Wales |
| Religion | Church of England |
| Occupation | Station hand |
| Address | Morgan Lane off Chloride Street, North Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs A C Chaplain, Morgan Lane off Chloride Street, North Broken Hill, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 34th Reinforcement |
| AWM Embarkation Roll number | 10/14/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Darwin on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
