| Regimental number | 15526 |
| Place of birth | Rockdale New South Wales |
| Religion | Church of England |
| Occupation | Boilermaker |
| Address | Seven Hills, New South Wales |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs L L S Vick, 'Fair View', Seven Hills, New South Wales |
| Enlistment date | 6 January 1916 |
| Date of enlistment from Nominal Roll | 24 January 1916 |
| Rank on enlistment | Private |
| Unit name | September 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 30 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Field Ambulance |
| Fate | Returned to Australia 4 January 1919 |
