| Regimental number | 1976 |
| Place of birth | Mount Lofty South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 18 Thornton Square, Kensington, South Australia |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Clara Matilda Rollins, 18 Thornton Square, Kensington, South Australia |
| Enlistment date | 17 May 1915 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/44/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Morea on 26 August 1915 |
| Rank from Nominal Roll | Bombardier |
| Unit from Nominal Roll | 2nd ADAM Col |
| Fate | Returned to Australia 5 April 1919 |