| Regimental number | 4804 |
| Place of birth | Parramatta New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Mittagong, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs E Chave, Mittagong, New South Wales |
| Enlistment date | 11 September 1915 |
| Date of enlistment from Nominal Roll | 24 September 1915 |
| Rank on enlistment | Acting Corporal |
| Unit name | 19th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 13 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Effective abroad (still overseas) |
