| Regimental number | 1704 |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Gorae via Portland, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Myrtle Hollis, Gorae via Portland, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/41/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on |