| Regimental number | 4786 |
| Place of birth | Port Adelaide South Australia |
| Religion | Congregational |
| Occupation | Labourer |
| Address | 69 Spencer Road, Mosman Bay, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Aunt, Miss M Collins, 69 Spencer Road, Mosman Bay, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Pioneer Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death | |
| Place of burial | Hopetoun Cemetery |