| Regimental number | 3658 |
| Place of birth | Leicester England |
| Religion | Church of England |
| Occupation | Accountant |
| Address | Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Elizabeth Holland, YMCA, Brisbane, Queensland |
| Enlistment date | 29 May 1917 |
| Rank on enlistment | Private |
| Unit name | 49th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/66/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 1 August 1917 |
| Regimental number from Nominal Roll | 3658B |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 26th Battalion |
| Fate | Returned to Australia 13 July 1919 |
