| Regimental number | 5972 |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Brunswick Junction, Western Australia |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Caroline Holey c/o E Holey, Foulshem, East Durham Norfolk, England |
| Enlistment date | 8 February 1916 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/33/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 7 August 1916 |
| Fate | No details of fate entered on Nominal Roll |
