| Regimental number | 6234 |
| Place of birth | Ulmarra New South Wales |
| Religion | Presbyterian |
| Occupation | Teacher |
| Address | PO, Casino, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs M H Champion, Lismore, New South Wales |
| Enlistment date | 5 January 1916 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 9 September 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | Australian Army Ordnance Corps |
| Fate | Returned to Australia 7 March 1919 |
