| Regimental number | 5611 |
| Place of birth | Port Melbourne Vic |
| Religion | Roman Catholic |
| Occupation | Painter |
| Address | Spencer Road, Camberwell, Victoria |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs Rose Gabriel Jane Holten, Spencer Road, Camberwell, Victoria |
| Enlistment date | 14 March 1916 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/40/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 25 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Returned to Australia 19 June 1919 |