| Regimental number | 2679 |
| Place of birth | London, England |
| School | Netherwood St Board School, Kilburn, London, England |
| Age on arrival in Australia | 26 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Gelliondale, Victoria |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs Elizabeth Jolly, Gelliondale, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 58th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/75/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Killed in Action |
| Place of death or wounding | Polygon Wood, Belgium |
| Age at death | 34 |
| Age at death from cemetery records | 24 |
| Place of burial | Tyne Cot Cemetery (Plot LXI, Row E, Grave No. 5), Passchendaele, Belgium |
| Panel number, Roll of Honour, Australian War Memorial | 165 |
| Miscellaneous information from cemetery records | Parents: Edward and Annie JOLLY; husband of Annie Elizabeth JOLLY, Gelliondale, Victoria. Native of London, England |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |