| Regimental number | 2162 |
| Place of birth | Gympie Qld |
| Religion | Congregational |
| Occupation | Miner |
| Address | Gympie, Queensland |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Helen Harriett Holm c/o Mrs Moxon, Rifle Range Road, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/26/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A63 Karoola on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 9th Battalion |
| Recommendations (Medals and Awards) |
Distinguished Conduct Medal Conspicuous gallantry at Pozieres. Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 23 Date: |
| Date of death | |
| Place of burial | Albany Creek Crematorium |