| Regimental number | 17 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o Reddie M Bilson, The Gums, Tara, via Dalby, Queensland |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Miss L Thompson, Queen's Hotel, Maryborough, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian Naval & Military Expeditionary Force (Queensland Reinforcement) |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |