| Regimental number | 2984 |
| Place of birth | Clermont Queensland |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 44 Shadforth Street, Mosman, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Sister, Annie Collins, 44 Shadforth Street, Mosman, Sydney, New South Wales |
| Enlistment date | 6 May 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Field Ambulance |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A31 Ajana on 31 May 1915 |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia 23 July 1919 |
