| Regimental number | 5271 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Engineer |
| Address | Leabrook, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs J Holden, Kensington Road, Leabrook, South Australia |
| Enlistment date | 13 May 1915 |
| Rank on enlistment | Private |
| Unit name | Convalescent Depot, Harefield Park, London |
| AWM Embarkation Roll number | 26/84/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on 17 July 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Field Ambulance |
| Fate | Returned to Australia 1 May 1919 |
