| Regimental number | 3053 |
| Place of birth | Erith England |
| Religion | Church of England |
| Occupation | Teamster |
| Address | Katanning, Western Australia |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Sister, Mrs Annie Etta Collier, 21 Beresford Road, New Malden, Surrey, England |
| Enlistment date | 25 October 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Pioneer Battalion, Reinforcement 6 |
| AWM Embarkation Roll number | 14/15/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A34 Persic on 29 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | AIF Headquarters |
| Fate | Effective abroad (still overseas) |
