| Regimental number | 69307 |
| Place of birth | Bittern Victoria |
| Religion | Salvation Army |
| Occupation | Baker's carter |
| Address | Atherton Road, Oakleigh, Victoria |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs S B Nelson, Princes Street, South Oakleigh, Victoria |
| Enlistment date | 15 May 1918 |
| Rank on enlistment | Private |
| Unit name | 17th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 2 November 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
