| Regimental number | 21273 |
| Place of birth | Melbourne Vic |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Malvern, Victoria |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs E Holmes, 13 Finlayson Street, Malvern, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Sea Transport Staff Sections 7-8 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on |
| Fate | No details of fate entered on Nominal Roll |