| Regimental number | 16677 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Salesman |
| Address | 'Leswell', Newman Street, Penshurst, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs Mary Hannah Vaughan, 'Leswell', Newman Street, Penshurst, New South Wales |
| Enlistment date | 31 March 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Field Ambulance, 25th Reinforcement |
| AWM Embarkation Roll number | 26/39/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A53 Itria on 28 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Stationary Hospital |
| Fate | Returned to Australia 15 June 1919 |