| Regimental number | 4459 |
| Place of birth | Wagga Wagga New South Wales |
| Religion | Church of England |
| Occupation | Plumber |
| Address | 28 Regent Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Father, A Colliss, Bulli, New South Wales |
| Enlistment date | 15 September 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A70 Ballarat on 16 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 54th Battalion |
| Fate | Returned to Australia 23 June 1919 |