| Regimental number | 3763 |
| Place of birth | Northcote, Victoria |
| Religion | Roman Catholic |
| Occupation | Stereotyper |
| Address | Pier Street, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Uncle, P Collier, Clothilde Street, Mount Lawley, Western Australia |
| Enlistment date | 12 July 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/28/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board RMS Mongolia on 22 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 13 February 1917 |
