| Regimental number | 612 |
| Date of birth | |
| Place of birth | Liverpool England |
| Religion | Church of England |
| Occupation | Purser |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Father, W E Collins Chartered Accountant, 4 Harrington Street, Liverpool, England |
| Enlistment date | |
| Rank on enlistment | Colour SGT |
| Unit name | 16th Battalion, E Company |
| AWM Embarkation Roll number | 23/33/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 16th Battalion |
| Promotions |
2nd Lieutenant Unit: INF16 Promotion date: |
| Fate | Returned to Australia |