| Regimental number | 5540 |
| Place of birth | Kensington South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Benboka |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs G Collins, Queens Street, Kensington, South Australia |
| Enlistment date | 21 August 1915 |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 1, Reinforcement 11 |
| AWM Embarkation Roll number | 25/89/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 11 October 1915 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 1st Field Artillery Brigade |
| Fate | Returned to Australia 17 March 1919 |
