| Regimental number | 2364 |
| Place of birth | Burton-Upon-Trent England |
| Religion | Church of England |
| Occupation | Jackeroo |
| Address | Maitland, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Maud Collett, Burton-on-Trent, Staffordshire, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | February 1917 Reinforcements, Imperial Camel Corps |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Morea on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Light Horse Remounts |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
