| Regimental number | 4801 |
| Religion | Methodist |
| Occupation | Student |
| Address | Methodist Parsonage, Long Gully, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mr W Holtham, Methodist Parsonage, Long Gully, Bendigo, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on |
| Fate | No details of fate entered on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
