| Regimental number | 18577 |
| Place of birth | Bendigo, Victoria |
| Religion | Church of England |
| Occupation | Chemist |
| Address | Parkville, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs A E Collins, 110 Gatehouse Street, Parkville, Victoria |
| Enlistment date | 14 November 1916 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Staff Sergeant Dispensers |
| AWM Embarkation Roll number | 26/108/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on 29 August 1917 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 15 January 1919 |