| Regimental number | 16871 |
| Place of birth | Perthville New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Perthville, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Mary Colless, P O Perthville, Perthville, New South Wales |
| Enlistment date | 12 April 1916 |
| Date of enlistment from Nominal Roll | 19 April 1916 |
| Rank on enlistment | Private |
| Unit name | Australian Camel Field Ambulance |
| AWM Embarkation Roll number | 26/60/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on 10 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Australian General Hospital |
| Fate | Returned to Australia 4 March 1919 |
