| Regimental number | 17908 |
| Place of birth | Bairnsdale Victoria |
| Religion | Church of England |
| Occupation | Grocer |
| Address | Omeo, Victoria |
| Marital status | Widower |
| Age at embarkation | 38 |
| Next of kin | Sister, Mrs R A Collen, Omeo, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | April 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Field Ambulance |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
