| Regimental number | 3476 |
| Place of birth | Young New South Wales |
| Religion | Church of England |
| Occupation | Accountant |
| Address | Commercial Bank, Townsville, Queensland |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs E K Collins, 501 Wickham Terrace, Brisbane, Queensland |
| Enlistment date | 30 October 1917 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 30th Reinforcement |
| AWM Embarkation Roll number | 10/10/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Ormonde on 2 March 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
