| Regimental number | 2151 |
| Place of birth | Queanbeyan New South Wales |
| Religion | Church of England |
| Occupation | Salesman |
| Address | Maryborough, Queensland |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Agnes Collett, 'Fairview', Elliott Street, Clayfield, Brisbane, Queensland |
| Enlistment date | 30 March 1916 |
| Rank on enlistment | Private |
| Unit name | 52nd Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/69/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A42 Boorara on 16 August 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
