| Regimental number | 1467 |
| Place of birth | Walhalla Victoria |
| Religion | Church of England |
| Occupation | Postal assistant |
| Address | Trafalgar, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Jane Jolly, Trafalgar, Victoria |
| Enlistment date | 27 June 1916 |
| Rank on enlistment | 2nd Air Mechanic |
| Unit name | February 1917 Reinforcements |
| AWM Embarkation Roll number | 8/15/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 11 May 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |