| Regimental number | 14041 |
| Place of birth | Port Fairy Vic |
| Religion | Presbyterian |
| Occupation | Commission agent |
| Address | Wattle Valley Road, Canterbury, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs J E Holden, Wattle Valley Road, Canterbury, Victoria |
| Enlistment date | 3 July 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Australian Casualty Clearing Station |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 20 May 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 3rd Casualty Clearing Station |
| Fate | Returned to Australia 12 May 1919 |
