
| Regimental number | 4958 |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, W Collins,105 Rosemary Road, Peckham, London, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/23/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |