| Regimental number | 6777A |
| Place of birth | Gawler, South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Mildura, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs E J Collins, Williamstown, Mildura, Victoria |
| Enlistment date | 14 August 1917 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/40/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Returned to Australia 23 July 1919 |
