| Regimental number | 4828 |
| Place of birth | Fremantle Western Australia |
| Religion | Church of England |
| Occupation | Butcher |
| Address | 81 Solomon Street, Beaconsfield, Western Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs E Holloway, 81 Solomon Street, Beaconsfield, Western Australia |
| Enlistment date | 6 December 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A38 Ulysses on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Battalion |
| Fate | Returned to Australia 4 June 1919 |
