| Regimental number | 72204 |
| Occupation | Sugar boiler |
| Next of kin | Mother, Mrs Isabella Chilcott, Test Street, Oamaru, Otago |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 37th Reinforcements, B Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT No 103 Maunganui on |
| Final rank | Private |
| Final unit | 1st Battalion, Otago Infantry Regiment |
| Fate | Died of wounds |
| Age at death from cemetery records | 20 |
| Place of burial | Terlincthun British Cemetery (Plot VI, Row A, Grave No 65), Wimille, Pas de Calais, France |
| Miscellaneous information from cemetery records | Parents: John William and Isabella Chilcott, Oamaru, New Zealand |
| Sources | Nominal Rolls Vol. 4: Roll 82, p. 9 |