| Regimental number | 5063 |
| Religion | Church of England |
| Occupation | Painter |
| Address | Townsville, Queensland |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs M A Collis, Sixth Street, South Townsville, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Star Of Victoria on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 47th Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Springvale Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
