| Regimental number | 7095 |
| Place of birth | Crediton England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Somerville, Victoria |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs L Vicary, Somerville, Victoria |
| Enlistment date | 6 September 1916 |
| Date of enlistment from Nominal Roll | 5 September 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 23 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 66th Battalion |
| Fate | Returned to Australia 27 August 1917 |
