| Regimental number | 2849 |
| Place of birth | Beaconsnfield, Tasmania |
| Religion | Methodist |
| Occupation | Miner |
| Address | Woolgar, Western Australia |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs F M Champion, 18 Roe Street, Subiaco, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Pioneer Battalion, Reinforcement 6 |
| AWM Embarkation Roll number | 14/17/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A16 Port Melbourne on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Corps School |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Karrakatta Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
