| Regimental number | 109 |
| Place of birth | Bourke New South Wales |
| Religion | Church of England |
| Occupation | Horse breaker |
| Address | 312 Miller Street, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Elizabeth Colless, 312 Miller Street, North Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, A Squadron |
| AWM Embarkation Roll number | 10/17/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A44 Vestalia on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 12th Light Horse Regiment |
| Promotions |
2nd Lieutenant Unit: LH12 Promotion date: Lieutenant Unit: LH12 Promotion date: |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
