| Regimental number | 2007 |
| Place of birth | North Adelaide South Australia |
| Religion | Church of England |
| Occupation | Fitter |
| Address | Maryfar, Marylands, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs E R Vincent, 28 Lock Street, St Peters |
| Enlistment date | 10 November 1914 |
| Rank on enlistment | Private |
| Unit name | 2nd Field Ambulance, Reinforcement 3 |
| AWM Embarkation Roll number | 26/45/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on 19 February 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
