| Regimental number | 6728 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Redland Bay, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs M J Collins, Redland Bay, Queensland |
| Enlistment date | 8 September 1916 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A74 Marathon on 27 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia 15 June 1919 |
