| Regimental number | 15858 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | Ballan, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs C Vincent, Ballan, Victoria |
| Enlistment date | 4 August 1915 |
| Date of enlistment from Nominal Roll | 22 July 1915 |
| Rank on enlistment | Private |
| Unit name | October 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Napier on 17 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Field Ambulance |
| Fate | Returned to Australia 9 August 1919 |
| Date of death | 17 December 1964 |
| Place of burial | Springvale Cemetery |
