| Regimental number | 19762 |
| Place of birth | Melbourne Vic |
| Religion | Roman Catholic |
| Occupation | Cutter |
| Address | 4 Camden Street, Balaclava, Victoria |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs E V Holloway, 4 Camden Street, Balaclava, Victoria |
| Enlistment date | 1 December 1915 |
| Rank on enlistment | Bombardier |
| Unit name | Field Artillery Brigade 8, Battery 30 |
| AWM Embarkation Roll number | 13/36/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 20 May 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 5th Field Artillery Brigade |
| Fate | Returned to Australia 20 May 1919 |
