| Regimental number | 6509 |
| Place of birth | St George Qld |
| Religion | Church of England |
| Occupation | Labourer |
| Address | St George, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs H E Hollist, St George, Queensland |
| Enlistment date | 11 May 1916 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A36 Boonah on 21 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 10 April 1919 |
