| Regimental number | 4802 |
| Place of birth | Adelaide South Australia |
| Religion | Baptist |
| Occupation | Physical instructor |
| Address | Angas Road, Cottonville, South Australia |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs E A Hollis, Angas Road, Cottonville, Clarence Park, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Mongolia on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in South Australian Garden of Remembrance |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death |