| Regimental number | 20671 |
| Place of birth | Footscray Victoria |
| Religion | Methodist |
| Occupation | Commercial traveller and storekeeper |
| Address | Mount Lawley, Western Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs A S Nelson, 27 Second Avenue, Mount Lawley, Western Australia |
| Enlistment date | 26 June 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 10 June 1918 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 13th Field Ambulance |
| Fate | Effective abroad (still overseas) |
