| Regimental number | 4999 |
| Place of birth | Gundagai New South Wales |
| Religion | Roman Catholic |
| Occupation | Farm labourer |
| Address | c/o N P Burges, "Wooiegong", Burges Siding, Western Australia |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Sister, Miss Maggie Collins, Cooba Creek via Junee Junction, New South Wales |
| Enlistment date | 7 February 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A48 Seang Bee on 18 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 16 June 1919 |