| Regimental number | 1127 |
| Place of birth | Brighton England |
| Religion | Church of England |
| Occupation | Timber hewer |
| Address | Suffolk House, Brant Street, Hendon, London NW, England |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Marion Jane Collins, Suffolk House, Brant Street, Hendon, London NW, England |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 7th Reinforcement |
| AWM Embarkation Roll number | 10/15/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A61 Kanowna on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 51st Battalion |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |