| Regimental number | 4263 |
| Place of birth | Fremantle Western Australia |
| Religion | Church of England |
| Occupation | Gold miner |
| Address | 34 Portland Place, South Yarra Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Mother, Mrs E L Vincent, 55 Sterling Street, Fremantle, Western Australia |
| Enlistment date | 4 November 1915 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on 8 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 11 January 1918 |