| Regimental number | 4203 |
| Occupation | Cook |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | T Holland, 8 Prospect Street, Newtown, Sydney, New South Wales |
| Enlistment date | 18 September 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 20 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Light Trench Mortar Battery |
| Fate | Returned to Australia 5 November 1917 |
