| Regimental number | 6042 |
| Place of birth | Penrith New South Wales |
| Religion | Methodist |
| Occupation | Builder |
| Address | 15 Orton Street, Marrickville, New South Wales |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Louisa Colless, 15 Orton Street, Marrickville, New South Wales |
| Enlistment date | 15 May 1916 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/35/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 4 May 1917 |
