| Regimental number | 2114 |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Red Range via Glen Innes, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Grandparent, Thomas Wilson, Red Range via Glen Innes, New South Wales |
| Enlistment date | 30 October 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 14th Reinforcement |
| AWM Embarkation Roll number | 10/6/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT RMS Osterley on 15 January 1916 |
| Rank from Nominal Roll | Private |