| Regimental number | 2176 |
| Place of birth | Bendigo Vic |
| Religion | Church of England |
| Occupation | Rubber worker |
| Address | 144 Keele Street, Collingwood, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Ethel W Holmes, 144 Keele Street, Collingwood, Victoria |
| Enlistment date | 25 May 1916 |
| Rank on enlistment | Private |
| Unit name | 58th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/75/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on 1 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia 13 February 1917 |
