| Regimental number | 4778 |
| Place of birth | London England |
| Religion | Roman Catholic |
| Occupation | Timber worker |
| Address | 128 Glyde Street, East Fremantle, Western Australia |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs I Collyer, 128 Glyde Street, East Fremantle, Western Australia |
| Enlistment date | 30 December 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A38 Ulysses on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 48th Battalion |
| Fate | Returned to Australia 10 September 1917 |
