
| Regimental number | 5163 |
| Place of birth | South Hammock South Australia |
| Religion | Church of England |
| Occupation | Horse driver |
| Address | Undalya, South Australia |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs A Nelson, Undalya, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A60 Aeneas on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front |
| Date of death | |
| Age at death | 75 |
| Place of burial | AIF Cemetery (Row 14, Grave 59), West Terrace, Adelaide, South Australia |