| Regimental number | 2119 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Ayr, Lower Burdekin, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Charles Herbert Collins, c/o P O Ayr, Queensland |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 3, Military District 1 |
| AWM Embarkation Roll number | 13/31/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board Transport A22 Rangatira on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
