| Regimental number | 1749 |
| Place of birth | Wagga Wagga New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Peter Street, Wagga Wagga, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Sister, Miss Elsie May Vincent, Peter Street, Wagga Wagga, New South Wales |
| Enlistment date | 1 February 1916 |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/72/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 14 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 2 June 1919 |
