| Regimental number | 1575 |
| Place of birth | Beechworth, Victoria |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Stqnley near Beechworth, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Ferdinand Collins, Stqnley near Beechworth, Victoria |
| Enlistment date | 8 April 1915 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Berrima on 28 June 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
