| Regimental number | 61623 |
| Place of birth | Derby England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Robin Hood Hotel, Drouin West, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, I Hole, Robin Hood Hotel, Drouin West, Victoria |
| Enlistment date | 4 July 1918 |
| Rank on enlistment | Private |
| Unit name | 12th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A37 Barambah on 31 August 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia 22 July 1919 |
