| Regimental number | 3840 |
| Place of birth | Warrnambool, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 495 Drummond Street, Carlton, Victoria |
| Marital status | Widower |
| Age at embarkation | 34 |
| Next of kin | Da (minor), Miss Maisie Collins, 495 Drummond Street, Carlton, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Divisional Signal Company, 1st Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A45 Ceramic on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 5th Divisional Signal Company |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
