| Regimental number | 4233 |
| Place of birth | Walhalla Victoria |
| Religion | Church of England |
| Occupation | Miner |
| Address | Marda, via Southern Cross, Western Australia |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs K Jolly, 102 Aberdeen Street, Perth, Western Australia |
| Enlistment date | 15 September 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on 17 January 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 12 May 1919 |
