| Occupation | Medical practitioner |
| Address | Royal Prince Alfred Hospital, Camperdown, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs A M Collins, 'Rockwood', Hilda Street, Wahroonga, New South Wales |
| Enlistment date | |
| Rank on enlistment | Captain |
| Unit name | Australian Casualty Clearing Station 2 |
| AWM Embarkation Roll number | 26/63/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on |
| Recommendations (Medals and Awards) |
Military Cross Recommendation date: Companion of the Distinguished Service Order Recommendation date: |
| Miscellaneous details (Nominal Roll) | see other |