| Religion | Church of England |
| Occupation | Labourer |
| Address | 25 Falkirk Avenue, Maylands, Western Australia |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs Jessie Colbourne, Falkirk Avenue, Maylands, Western Australia |
| Enlistment date | 12 May 1915 |
| Rank on enlistment | Corporal |
| Unit name | Army Medical Corps - Hospital Transports (Number 1 Hospital Ship A61, "Kanowna") |
| AWM Embarkation Roll number | 26/104/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A61 Kanowna on n.d. |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 12 March 1918 |
