| Regimental number | 4006 |
| Religion | Church of England |
| Occupation | Mechanic |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Jolly, 78 Neville Street, Middle Park, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/24/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Age at death from cemetery records | 19 |
| Place of burial | Tyne Cot Cemetery (Plot XLIII, Row C, Grave No. 2), Passchendaele, Belgium |
| Panel number, Roll of Honour, Australian War Memorial | 50 |
| Miscellaneous information from cemetery records | Parents: Charles E and Ellen JOLLY. Native of Bendigo, Victoria |