| Regimental number | 4801 |
| Place of birth | Hobart, Tasmania |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Brighton-le-Sands, Sydney,NSW |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs R Collis, Brighton-le-Sands, Sydney,NSW |
| Enlistment date | 22 November 1915 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 13 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Field Company Engineers |
| Fate | Returned to Australia 1 August 1919 |
| Miscellaneous details (Nominal Roll) | *Noted COLLIS Reg Stanley NR |
