| Regimental number | 77 |
| Place of birth | Manchester England |
| Religion | Church of England |
| Occupation | Clogger |
| Address | 3 Seymour Street, Richmond, Victoria |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Mrs Esther Collier, 152 Brighton Street, East Richmond, Victoria |
| Enlistment date | 18 August 1914 |
| Rank on enlistment | Driver |
| Unit name | 1st Light Horse Field Ambulance, A Squadron |
| AWM Embarkation Roll number | 26/39/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A27 Southern on 23 September 1914 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 1st Light Horse Field Ambulance |
| Fate | Returned to Australia 30 August 1918 |
