| Regimental number | 615 |
| Place of birth | Tenterfield New South Wales |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | Rose Hill, Tenterfield, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Mary Ann Holly, Rose Hill, Tenterfield, New South Wales |
| Enlistment date | 23 August 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 12, Reinforcement 10 |
| AWM Embarkation Roll number | 24/17/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Osterley on 14 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
| Fate | Returned to Australia 21 December 1918 |
