| Regimental number | 6804 |
| Place of birth | Runcorn Qld |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Kurabie, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Emma Hollison, Kurabie, South Coast Line, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/43/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 52nd Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
