| Regimental number | 73011 |
| Occupation | Farmer |
| Next of kin | Mother, Mrs F M Collins, Waimangaroa, via Westport |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 37th Reinforcements, C Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT No 103 Maunganui on |
| Sources | Nominal Rolls Vol. 4: Roll 82, p. 14 |