| Regimental number | 4779 |
| Place of birth | Singleton New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Banks Street, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs E Collis, Branxton, via Newcastle, New South Wales |
| Enlistment date | 23 September 1915 |
| Date of enlistment from Nominal Roll | 27 September 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on 8 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Machine Gun Battalion |
| Fate | Returned to Australia 15 May 1919 |
