| Regimental number | 3775 |
| Place of birth | Launceston Tas |
| Religion | Church of England |
| Occupation | Lineman |
| Address | Waratah, Tasmania |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs A Holder, Waratah, Tasmania |
| Enlistment date | 24 February 1915 |
| Rank on enlistment | Driver |
| Unit name | Infantry Brigade 7, Field Ambulance 7, Section C |
| AWM Embarkation Roll number | 26/50/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A11 Ascanius on 25 May 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Field Ambulance |
| Fate | Returned to Australia 4 May 1917 |