| Regimental number | 17451 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Maylands, Western Australia |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs J Colbourne, Falkirk Avenue, Maylands, Western Australia |
| Enlistment date | 12 May 1915 |
| Rank on enlistment | Corporal |
| Unit name | Hospital Transport Corps |
| AWM Embarkation Roll number | 26/104/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board RMS Mooltan on 24 May 1915 |
| Miscellaneous details (Nominal Roll) | see other |
