| Regimental number | 3403 |
| Place of birth | Manchester England |
| Religion | Church of England |
| Occupation | Bricklayer |
| Address | Hooper Street, Randwick, New South Wales |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Wilhemina Holt, Hooper Street, Randwick, New South Wales |
| Enlistment date | 11 January 1917 |
| Rank on enlistment | Private |
| Unit name | 53rd Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/70/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Regimental number from Nominal Roll | 3403A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Effective abroad (still overseas) |