| Regimental number | R17451 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Maylands, Western Australia |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs J Colbourne, 25 Falkirk Avenue, Maylands, Western Australia |
| Enlistment date | 12 May 1915 |
| Rank on enlistment | Corporal |
| Unit name | Army Medical Corps, March 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on 29 June 1917 |
| Miscellaneous details (Nominal Roll) | see other |