| Regimental number | 28412 |
| Religion | Church of England |
| Occupation | Dentist |
| Address | Military Road, Largs Bay, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, W C Quin, Military Road, Largs Bay, South Australia |
| Previous military service | 10th AGA |
| Enlistment date | 10 January 1916 |
| Rank on enlistment | Gunner |
| Unit name | Howitzer Brigade 21, Reinforcement 7 |
| AWM Embarkation Roll number | 13/131/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |