| Regimental number | 2049 |
| Place of birth | Windsor New South Wales |
| Religion | Church of England |
| Occupation | Baker |
| Address | Longreach, Queensland |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs Elizabeth Collison, 46 Balmain Road, Leichardt, Sydney, New South Wales |
| Enlistment date | 11 May 1916 |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/59/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Macgillivray on 7 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 42nd Battalion |
| Fate | Returned to Australia 5 November 1917 |
