| Regimental number | 6736 |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Mysia, near Boort, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | David Chalmers, Mysia, near Boort, Victoria |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Army Service Corps 17, Reinforcement 1 |
| AWM Embarkation Roll number | 25/36/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A11 Ascanius on |
| Fate | No details of fate entered on Nominal Roll |