| Regimental number | 4158 |
| Place of birth | Echunga, South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 23 Churchill Street, Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs E M Collingridge, 23 Churchill Street, Adelaide, South Australia |
| Enlistment date | 23 August 1915 |
| Date of enlistment from Nominal Roll | 16 August 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 11 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Pioneer Battalion |
| Fate | Returned to Australia 9 December 1918 |
