| Regimental number | 67968 |
| Place of birth | Delegate New South Wales |
| Religion | Roman Catholic |
| Occupation | Storeman |
| Address | 2 Carlton Flats, Nield Avenue, Paddington, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs M B Collins, c/o Mrs Goodman, Wombat Road, Wallendbeen, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 27 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on |
| Other details |
War service: ship recalled owing to cessation of hostilities. Medal: British War Medal |