| Regimental number | 21640 |
| Place of birth | Ballarat Vic |
| Religion | Methodist |
| Occupation | Clerk and collector |
| Address | Ballarat North, Victoria |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Father, A Holmes, Walker Street,Ballarat North, Victoria |
| Enlistment date | 5 March 1917 |
| Rank on enlistment | Sapper |
| Unit name | 1st-4th Signal Troops - February, 1918, Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Darwin on 30 April 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Signal Squadron |
| Fate | Returned to Australia 2 April 1919 |
