| Regimental number | 611 |
| Place of birth | MacLean New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | c/o Mrs W Kerwin, Woodlawn, Cochin via Boonah, Queensland |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, W Collis, Maclean, New South Wales |
| Enlistment date | 23 January 1915 |
| Date of enlistment from Nominal Roll | 2 November 1914 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, C Company |
| AWM Embarkation Roll number | 23/42/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A60 Aeneas on 29 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 26th Battalion |
| Fate | Returned to Australia 28 March 1919 |
