| Regimental number | 58382 |
| Place of birth | Maryborough Queensland |
| Religion | Baptist |
| Occupation | Coachpainter |
| Address | Rockhampton, Queensland |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs R J Nelson, c/o Mrs W K Lacy, Canning Street, Rockhampton, Queensland |
| Enlistment date | 25 June 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 7 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema on 14 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |