| Regimental number | 37783 |
| Religion | Church of England |
| Occupation | Lengthsman |
| Address | Birkdale, Cleveland Line, Queensland |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs Sarah Elizabeth Collins, Birkdale, Cleveland Line, Queensland |
| Enlistment date | 26 February 1917 |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade, Reinforcement 31 |
| AWM Embarkation Roll number | 13/128/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 5 November 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |