| Regimental number | 4596 |
| Place of birth | Somerset England |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | c/o Mr Vincent, Preston Reservoir, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Guardian, Lucy Vickering, Lansford, Budville, Wellington, Somerset, England |
| Enlistment date | 11 September 1916 |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/46/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 16 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 39th Battalion |
| Fate | Returned to Australia 25 January 1919 |
