| Regimental number | 4462 |
| Place of birth | Tarnagulla Vic |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 34 Ashmore Street, Brunswick, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs Ellen Hollingsworth, 34 Ashmore Street, Brunswick, Melbourne, Victoria |
| Enlistment date | 3 February 1916 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT RMS Orontes on 29 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia 12 March 1918 |
