| Regimental number | 5006 |
| Place of birth | Aberravin Wales |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Gumble PO, via Molong, New South Wales |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs A Holman, c/o Mrs H Lucas, Norfolk Street, Liverpool, New South Wales |
| Enlistment date | |
| Rank on enlistment | Acting Corporal |
| Unit name | 19th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A31 Ajana on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 7th Field Artillery Brigade |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |