| Regimental number | 802 |
| Place of birth | Surrey England |
| Religion | Church of England |
| Occupation | Accountant |
| Address | 112 Cotha Street, Valley, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Sister, Mrs M L Holmes, 50 Cedar Road, Croydon, Surrey, England |
| Enlistment date | 29 March 1917 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 3, Reinforcement 15 |
| AWM Embarkation Roll number | 24/8/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Indarra on 26 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Pay Corps |
| Fate | Effective abroad (still overseas) |
