| Regimental number | 2144 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Prospector |
| Address | 6 Seymour Grove, Camberwell, Victoria |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Mother, Mrs Mary Collins, 6 Seymour Grove, Camberwell, Victoria |
| Enlistment date | 9 May 1916 |
| Rank on enlistment | Private |
| Unit name | 59th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/76/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on 1 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 59th Battalion |
| Fate | Returned to Australia 27 August 1917 |
