| Regimental number | 4321 |
| Religion | Church of England |
| Occupation | Steward |
| Address | C/ Mr. G. Baker, Newcastle Club, Newcastle, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs E Hollingum, 3 Christchurch Road, Gravesend, England |
| Enlistment date | 30 September 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 20 December 1915 |
| Miscellaneous details (Nominal Roll) | crossed out on n.r. |
