| Regimental number | 4040 |
| Place of birth | Newtown New South Wales |
| Religion | Congregational |
| Occupation | Farmer |
| Address | Dooralong, via Wyong, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, Mrs E.M. Holliday Koromoko, Arthur Street, Granville, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 15th Field Company Engineers |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
