| Regimental number | 2964 |
| Place of birth | Horsham Victoria |
| Religion | Methodist |
| Occupation | Driver |
| Address | Victoria Street, Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Uncle, Ivan Ince, Victoria Street, Ballarat, Victoria |
| Enlistment date | 24 February 1916 |
| Date of enlistment from Nominal Roll | 4 February 1916 |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/46/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 32nd Battalion |
| Fate | Returned to Australia 25 September 1919 |
