| Regimental number | 5042 |
| Place of birth | Parkside South Australia |
| Religion | Church of England |
| Occupation | Seedsman |
| Address | Maylands, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Hannah Maria Nelson, Phillis Street, Maylands, South Australia |
| Enlistment date | 12 January 1916 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 13th Reinforcement |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board A37 Barambah on 27 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia 4 May 1917 |
