| Regimental number | 12904 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Butcher |
| Address | 103 Pyrmont Street, Pyrmont, New South Wales |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Father, R Nelson, 46 Hutchinson Street, St Peters, New South Wales |
| Enlistment date | 11 July 1916 |
| Rank on enlistment | Private |
| Unit name | Army Service Corps Reinforcement 22 |
| AWM Embarkation Roll number | 25/105/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Napier on 17 November 1916 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Nicholson on 8 November 1916 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Aust M T Company |
| Fate | Returned to Australia 13 July 1919 |