| Regimental number | 1878 |
| Place of birth | Northampton Western Australia |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Geraldton, Wetern Australia |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs Ellen Holly, c/o E O'Malley, carrier, Geraldton, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 13th Reinforcement |
| AWM Embarkation Roll number | 10/15/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 11th Field Artillery Brigade |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
