| Regimental number | 4760 |
| Place of birth | Melbourne, Victoria |
| Religion | Methodist |
| Occupation | Driver |
| Address | 21 Stirling Street, Footscray, Victoria |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs O T Collins, 21 Stirling Street, Footscray, Victoria |
| Enlistment date | 16 August 1915 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A68 Anchises on 14 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 46th Battalion |
| Fate | Returned to Australia 17 October 1918 |
