
| Regimental number | 662 |
| Place of birth | Plymouth England |
| Religion | Church of England |
| Occupation | Storeman |
| Address | Hardy Street, Queenstown, Port Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs F Collins, Hardy Street, Queenstown, Port Adelaide, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian Flying Corps, No 2 Squadron, B Flight |
| AWM Embarkation Roll number | 8/5/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 135 Date: |