| Regimental number | 5252 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Lara via Geelong, Victoria |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Father, B Collins, Lara via Geelong, Victoria |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | July 1916 Reinforcements |
| AWM Embarkation Roll number | 16/14/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A26 Armadale on |
| Miscellaneous details (Nominal Roll) | see other |