| Regimental number | 1430 |
| Place of birth | Rockhampton Queensland |
| Religion | Church of England |
| Occupation | Station hand |
| Address | Rockhampton, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Annie Collins, Kent Lane, Rockhampton, Queensland |
| Enlistment date | 30 July 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 11th Reinforcement |
| AWM Embarkation Roll number | 10/10/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A47 Mashrobra on 4 October 1915 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 13th Field Artillery Brigade |
| Fate | Returned to Australia 6 September 1919 |
