| Regimental number | 4561 |
| Place of birth | Ipswich England |
| Religion | Church of England |
| Occupation | Student |
| Address | 'Staletta', Centennial Avenue, Chatswood, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, A Jolly, 105 Fore Street, Ipswich, England |
| Enlistment date | 11 January 1918 |
| Date of enlistment from Nominal Roll | 15 January 1918 |
| Rank on enlistment | Private |
| Unit name | Light Horse, February 1918 Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Darwin on 30 April 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Light Horse Regiment |
| Fate | Effective abroad (still overseas) |