
| Regimental number | 563 |
| Place of birth | Reigate England |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | 'Kenora', Chart Lane, Surrey, England |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Rose Holman, 'Kenora', Chart Lane, Surrey, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, B Company |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Ceramic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Field Ambulance |
| Recommendations (Medals and Awards) |
Military Medal and Mention in Orders Recommendation date: |
| Fate | Returned to Australia |