| Place of birth | Semaphore, South Australia |
| Religion | Church of England |
| Occupation | Medical practitioner |
| Address | Helen Street, Croydon Park, South Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, J Kollosche, Helen Street, Croydon Park, South Australia |
| Previous military service | A A M C Reserve |
| Enlistment date | |
| Rank on enlistment | Captain |
| Unit name | 11th Field Ambulance |
| AWM Embarkation Roll number | 26/54/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A29 Suevic on |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Recommendations (Medals and Awards) |
Military Cross (Awarded Mention in Despatches, AIF List No. 279) Recommendation date: Mention in Despatches Awarded, and gazetted, 'London Gazette', second Supplement, No. 30448 (28 December 1917); 'Commonwealth Gazette' No. 57 (18 April 1918). |
| Fate | Returned to Australia |
| Other details | Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
