| Regimental number | 13762 |
| Place of birth | Gulargambone New South Wales |
| Religion | Salvation Army |
| Occupation | Packer |
| Address | Wellington, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs L Colless, Percy Street, Wellington, New South Wales |
| Enlistment date | 6 January 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on 29 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Light Horse Field Ambulance |
| Fate | Returned to Australia 17 July 1919 |
