| Regimental number | 4810 |
| Place of birth | Bealiba Vic |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Burke's Flat via St. Arnaud, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs R Holt, Burke's Flat via St. Arnaud, Victoria |
| Enlistment date | 3 August 1915 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 12th Field Artillery Brigade |
| Fate | Returned to Australia 11 May 1919 |
