| Regimental number | 4164 |
| Place of birth | Wallsend England |
| Religion | Methodist |
| Occupation | Fitter and turner |
| Address | Solomontown, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs E Chadwick, 16 MacIntyre Street, Hebburn on Tyne, England |
| Enlistment date | 25 August 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 11 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Pioneer Battalion |
| Fate | Effective abroad (still overseas) |
