
| Regimental number | 5356 |
| Place of birth | Mount Gambier, South Australia |
| Religion | Church of England |
| Occupation | Horse driver |
| Address | Corner Booth And Taylor Streets, Annandale, New South Wales |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs. G. Collingburn, c/o Miss George, Corner Booth And Taylor Streets, Annandale, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Victorian Garden of Remembrance |
| Date of death |