| Regimental number | 2858 |
| Place of birth | Ballarat Victoria |
| Religion | Methodist |
| Occupation | Electrical engineer |
| Address | 106 Bendigo Street, Burnley, Victoria |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs Margaret Incoll, 106 Bendigo Street, Burnley, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/40/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 13th Field Artillery Brigade |
| Recommendations (Medals and Awards) |
Special Mention in Corps Routine Orders |
| Fate | Returned to Australia |