| Regimental number | 6512 |
| Place of birth | Devonport Tasmania |
| Religion | Church of England |
| Occupation | Stonemason |
| Address | 39 Moray Street, South Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs M Jolliffe, 39 Moray Street, South Melbourne, Victoria |
| Enlistment date | 7 July 1916 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/23/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Corps Working Party |
| Fate | Returned to Australia 2 January 1919 |
