| Regimental number | 9751 |
| Religion | Church of England |
| Occupation | Chemist and Dentist |
| Address | Glen Iris, Victoria |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Father, W S Vernon, High Street, Glen Iris, Victoria |
| Enlistment date | 1 March 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Casualty Clearing Station, 4th Reinforcement |
| AWM Embarkation Roll number | 26/103/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Casualty Clearing Station |
| Fate | Returned to Australia 28 February 1919 |
