| Regimental number | 1204 |
| Place of birth | Hobart, Tasmania |
| Religion | Protestant |
| Occupation | Printer |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Edward Collis, 26 Queen Street, North Hobart, Tasmania |
| Enlistment date | 15 September 1914 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/29/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 22 December 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 12 December 1915 |
