| Regimental number | 15876 |
| Place of birth | Melbourne, Victoria |
| Religion | Presbyterian |
| Occupation | Cellarman |
| Address | South Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs I Collard, 5 Lyell Street, South Melbourne, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | October 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A19 Afric on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 4th Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
