| Regimental number | 16795 |
| Place of birth | Ipswich Queensland |
| Religion | Congregational |
| Occupation | Bricklayer |
| Address | Park Street, Ipswich, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Clara Vincent, Park Street, Ipswich, Queensland |
| Previous military service | 2nd Field Company Army Engineers |
| Enlistment date | 29 May 1916 |
| Rank on enlistment | Sapper |
| Unit name | January 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 10 February 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 10th Field Company Engineers |
| Fate | Returned to Australia 20 May 1919 |