| Regimental number | 6095 |
| Place of birth | North Melbourne Victoria |
| Religion | Church of England |
| Occupation | Japanner |
| Address | 111 Boundary Road, North Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs E Rolls, 111 Boundary Road, North Melbourne, Victoria |
| Enlistment date | 1 May 1916 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/23/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 38th Battalion |
| Fate | Returned to Australia 30 April 1919 |
