| Regimental number | 2639 |
| Religion | Church of England |
| Occupation | Stockman |
| Address | Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs. C. Challacombe, Rose Cottage, Southport, Queensland |
| Enlistment date | 20 January 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 23rd Reinforcement |
| AWM Embarkation Roll number | 10/7/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on 10 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia 5 February 1919 |
