| Regimental number | 5168 |
| Place of birth | Islington England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Rochester, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs S A Holloway, Crastock, Nanneella East via Rochester, Victoria |
| Enlistment date | 9 February 1916 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/23/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Machine Gun Battalion |
| Fate | Returned to Australia 5 July 1919 |
