| Regimental number | 17638 |
| Place of birth | Richmond Victoria |
| Religion | Presbyterian |
| Occupation | Clerk |
| Address | West Richmond, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, A Nancarrow, 5 Erin Street, West Richmond, Victoria |
| Enlistment date | 2 April 1914 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, March 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on 21 June 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
