| Regimental number | 17215 |
| Place of birth | Queanbeyan New South Wales |
| Religion | Church of England |
| Occupation | Porter |
| Address | Constitution Road, Ryde, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, R J Vincent, 'Winona', Constitution Road, Ryde, Sydney, New South Wales |
| Enlistment date | 14 January 1916 |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column 5, Reinforcement 3 |
| AWM Embarkation Roll number | 25/112/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 22 May 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 5th Divisional Ammunition Column |
| Fate | Returned to Australia 27 August 1917 |
