| Regimental number | 3813 |
| Place of birth | Brewarrina New South Wales |
| Religion | Church of England |
| Occupation | Horse breaker |
| Address | Gongolgon, Brewarrina, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs N Colless, Gongolgon, Brewarrina, New South Wales |
| Enlistment date | 2 November 1915 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 20 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 13 February 1917 |
