| Regimental number | 6512 |
| Place of birth | Launceston, Tasmania |
| Religion | Methodist |
| Occupation | Blacksmith |
| Address | Bathurst Street, Hobart, Tasmania |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, G A Collis, 129 Warwick Street, Hobart, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Field Ambulance, 12th Reinforcement |
| AWM Embarkation Roll number | 26/46/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT RMS Orontes on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 13th Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
