| Regimental number | 4549 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Blacksmiths labourer |
| Address | C/- James Winter, Rochester Street, Botany, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs Alice Mary Collis, Johnstone Street near Piper Street, Annandale, Sydney, New South Wales |
| Enlistment date | 7 June 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 14/13/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
