| Regimental number | 3402 |
| Place of birth | Watford England |
| Religion | Church of England |
| Occupation | Storeman |
| Address | 13 Victoria Street, Erskineville, New South Wales |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs Annie Holliday, 13 Victoria Street, Erskineville, New South Wales |
| Enlistment date | 10 January 1917 |
| Rank on enlistment | Private |
| Unit name | 53rd Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/70/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia 8 July 1919 |
