| Regimental number | 502 |
| Place of birth | Birmingham England |
| Religion | Church of England |
| Occupation | Ship's cook |
| Address | Broken Hill, New South Wales |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs A Collins, c/o Mrs McAuliffe, Gibbs Street, North Dubbo, New South Wales |
| Enlistment date | 24 May 1916 |
| Rank on enlistment | 2nd Air Mechanic |
| Unit name | Australian Flying Corps, No 1 Squadron, Reinforcement 3 |
| AWM Embarkation Roll number | 8/4/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Returned to Australia 28 December 1917 |
