| Regimental number | 1256 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Katanning, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Sister, Amy Francis Holly, Box 45, Katanning, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 9th Reinforcement |
| AWM Embarkation Roll number | 10/15/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A20 Hororata on |