| Regimental number | 6478 |
| Place of birth | Canterbury New South Wales |
| Religion | Church of Christ |
| Occupation | Baker |
| Address | Forester Street, Canterbury, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs E A Chard Forester Street, Canterbury, New South Wales |
| Enlistment date | 16 May 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Effective abroad (still overseas) |
