| Regimental number | 76 |
| Religion | Church of England |
| Occupation | Clerk |
| Address | New Sandgate Road, Clayfield, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Marion Collins, New Sandgate Road, Clayfield, Brisbane, Queensland |
| Enlistment date | 5 October 1914 |
| Rank on enlistment | Private |
| Unit name | 1 Australian General Hospital (November 1914) |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board Transport A55 Kyarra on 21 November 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian General Hospital |
| Fate | Returned to Australia 10 June 1915 |
