| Regimental number | 3013 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Friendship Hotel, Bathurst Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Annie Holloway, 56 Leighton Road, London, NW, England |
| Enlistment date | 6 March 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Field Ambulance |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A31 Ajana on 31 May 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Field Ambulance |
| Fate | Effective abroad (still overseas) |
