| Regimental number | 287 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Montpellier Street, Exeter, South Australia |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Margaret Collins, Montpellier Street, Exeter, South Australia |
| Enlistment date | 4 September 1917 |
| Rank on enlistment | Private |
| Unit name | 43rd Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/60/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Ormonde on 7 March 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |