| Regimental number | 635 |
| Place of birth | Brighton, Victoria |
| Religion | Church of England |
| Occupation | Grocer |
| Address | Cottage Street, Blackburn, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, Benjamin Collins, Cottage Street, Blackburn, Victoria |
| Enlistment date | 15 November 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 15, Reinforcement 11 |
| AWM Embarkation Roll number | 24/20/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
