| Regimental number | 9157 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Plumber |
| Address | Melton, Howard Street, Randwick |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs Gertrude Hollyer, Melton, Howard Street, Randwick |
| Enlistment date | 1 August 1915 |
| Rank on enlistment | Private |
| Unit name | Dermatological Hospital |
| AWM Embarkation Roll number | 26/69/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on 22 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Division Sanitation Section |
| Fate | Returned to Australia 10 May 1919 |