| Regimental number | 3062 |
| Place of birth | Cornwall England |
| Religion | Church of England |
| Occupation | Driver |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs F Collett, 346 Richardson Street, Middle Park, Melbourne, Victoria |
| Enlistment date | 5 July 1915 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 18 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Pioneer Battalion |
| Fate | Returned to Australia 10 January 1918 |