| Regimental number | 1414 |
| Place of birth | Melbourne Victoria |
| Religion | Methodist |
| Occupation | Free holder |
| Address | Dulwich Hill, New South Wales |
| Marital status | Married |
| Age at embarkation | 50 |
| Next of kin | Wife, Mrs Mary Ann Vercoe, 73 Waddell Road, Dulwich Hill, New South Wales |
| Enlistment date | |
| Rank on enlistment | TPR |
| Unit name | Australian Remount Unit 2, Squadron 5 |
| AWM Embarkation Roll number | 28/3/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Remount Unit |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
