| Regimental number | 1264 |
| Place of birth | Armidale New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Glen Innes, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs M A Wilson, Glen Innes PO, Glen Innes, New South Wales |
| Enlistment date | 18 July 1916 |
| Rank on enlistment | Private |
| Unit name | October 1916 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A43 Barunga on 20 October 1916 |
| Regimental number from Nominal Roll | 1264A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Field Squadron Engineers |
| Fate | Returned to Australia 29 April 1916 |