| Regimental number | 6175 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 1 Perkins Street, Newcastle, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs E Chandler, 1 Perkins Street, Newcastle, New South Wales |
| Enlistment date | 2 September 1915 |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column 1, Reinforcement 12 |
| AWM Embarkation Roll number | 25/89/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A37 Barambah on 10 December 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 21st hab |
| Fate | Returned to Australia 4 May 1917 |
