| Regimental number | 10909 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Plumber |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Elizabeth Holt, 26 Lansdowne Road, Tottenham, London, England |
| Enlistment date | 24 January 1917 |
| Rank on enlistment | Sapper |
| Unit name | 11th Field Company Engineers, Reinforcement 1 |
| AWM Embarkation Roll number | 14/30/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A29 Suevic on 31 May 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | an LIGHT RLWYS |
| Fate | Returned to Australia 22 July 1919 |
