| Regimental number | 3704 |
| Place of birth | Cudley Creek South Australia |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Frederick Street, Maylands, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, T Holden, Frederick Street, Maylands, South Australia |
| Enlistment date | 4 August 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Malwa on 2 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 12 December 1918 |
