| Regimental number | 1817 |
| Place of birth | Tatura, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Tatura, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Sister, Miss Annie Sarah Colliver, Tatura, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 37th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/54/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
