| Regimental number | 5789 |
| Place of birth | Grafton New South Wales |
| Religion | Roman Catholic |
| Occupation | Newsvendor |
| Address | 78 Paddington Street, Paddington, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs Bessie Lilian Collins, 78 Paddington Street, Paddington, New South Wales |
| Enlistment date | 19 June 1916 |
| Date of enlistment from Nominal Roll | 14 June 1916 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/35/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 21 December 1917 |