| Regimental number | 6869A |
| Place of birth | Dean's Marsh Vic |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Brown Hill, Ballarat, Victoria |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs E Holian c/o Mrs Evans, 18 Ascot Street, Ballarat North, Victoria |
| Enlistment date | 30 July 1917 |
| Date of enlistment from Nominal Roll | 31 July 1917 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/40/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Regimental number from Nominal Roll | 6869 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Returned to Australia 7 June 1918 |
