| Regimental number | 12703 |
| Place of birth | Liverpool England |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Watkin Street, Prospect, South Australia |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs I Jeanet Collin, Watkin Street, Prospect, South Australia |
| Enlistment date | 24 January 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Field Ambulance |
| AWM Embarkation Roll number | 26/54/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A29 Suevic on 31 May 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | Australian Army Pay Corps |
| Fate | Returned to Australia 9 February 1919 |
