| Religion | Methodist |
| Occupation | Medical practitioner |
| Address | Wallsend, Newcastle, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs E A Collier, Wallsend, Newcastle, New South Wales |
| Enlistment date | |
| Rank on enlistment | Captain |
| Unit name | Medical Officers |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A16 Star of Victoria on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |