| Regimental number | 3565 |
| Place of birth | Port Adelaide South Australia |
| Religion | Methodist |
| Occupation | Driver |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Lily Nelson, Bower Road, Davington, South Australia |
| Enlistment date | 13 July 1915 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/44/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A24 Benalla on 27 October 1915 |
| Fate | No details of fate entered on Nominal Roll |
