| Regimental number | 21719 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Storeman |
| Address | 327 Hay Street, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs E. Collins, 63 Spenser Road, Herne Hill, London SE, England |
| Enlistment date | 17 November 1917 |
| Rank on enlistment | Sapper |
| Unit name | Engineering Field Companies, General Reinforcements |
| AWM Embarkation Roll number | 14/42/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 22 March 1918 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Field Company Engineers |
| Fate | Returned to Australia 23 September 1919 |
