| Regimental number | 6919 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Newcastle, New South Wales |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Mrs Lilian Collins, Ednaville Bivery Street, Hamilton, New South Wales |
| Enlistment date | 30 March 1917 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/35/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 16 June 1917 |
| Regimental number from Nominal Roll | 6919A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia 30 June 1918 |