| Regimental number | 55123 |
| Place of birth | Maldon, Victoria |
| Religion | Baptist |
| Occupation | Bootmaker |
| Address | Church Street, Maldon, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs H E Collins, Church Street, Maldon, Victoria |
| Previous military service | 66th Infantry |
| Enlistment date | 25 September 1917 |
| Date of enlistment from Nominal Roll | 20 September 1917 |
| Rank on enlistment | Private |
| Unit name | 5th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 5 June 1918 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 10 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Battalion |
| Fate | Returned to Australia 13 July 1919 |
