| Regimental number | 5785 |
| Place of birth | Gulgong New South Wales |
| Religion | Roman Catholic |
| Occupation | Grocer and motor mechanic |
| Address | Thirroul, New South Wales |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Mother, Mrs S M Holden, Thirroul, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 14/13/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on |