| Regimental number | 4770 |
| Place of birth | Farnham England |
| Religion | Church of England |
| Occupation | Swamper |
| Address | Buckingham Mill, Collie, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs E J Collins, Buckingham Mill, Collie, Western Australia |
| Enlistment date | 13 December 1915 |
| Date of enlistment from Nominal Roll | 15 December 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A38 Ulysses on 1 April 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 51st Battalion |
| Fate | Effective abroad (still overseas) |
