| 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 | 21 February 1916 |
| Date of enlistment from Nominal Roll | 27 May 1916 |
| 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 16 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
| Fate | Returned to Australia 12 June 1919 |
