| Regimental number | 18494 |
| Place of birth | Worcestershire England |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Goodwood, South Australia |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs S J Collins, 24 Clifton Street, Goodwood, South Australia |
| Enlistment date | 7 March 1917 |
| Rank on enlistment | Private |
| Unit name | July 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on 30 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 8 April 1918 |