| Regimental number | 3061 |
| Place of birth | Farina South Australia |
| Religion | Church of England |
| Occupation | Overseer |
| Address | Yardea, South Australia |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs. Annie Hiern, 58 The Mall, Glenelg, South Australia |
| Enlistment date | 19 April 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 23rd Reinforcement |
| AWM Embarkation Roll number | 10/8/5 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A45 Bulla on 16 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia 16 May 1919 |
| Miscellaneous details (Nominal Roll) | *Given name Charles John |
