| Regimental number | 4717 |
| Place of birth | Brighton Victoria |
| Religion | Church of England |
| Occupation | Carter |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Lily Jolly, 135 Malvern Road, Malvern, Melbourne, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/49/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
