| Regimental number | 6164 |
| Place of birth | Fremantle Western Australia |
| Religion | Church of England |
| Occupation | Storeman |
| Address | Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Elizabeth Vincent, 123 Charles Street, Perth, Western Australia |
| Enlistment date | 24 July 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A8 Argyllshire on 9 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 1 November 1917 |
