| Regimental number | 2403 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Orchardist |
| Address | Ourimbah, New South Wales |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Lillian S J Wilcox, Ourimbah, New South Wales |
| Enlistment date | 11 May 1916 |
| Date of enlistment from Nominal Roll | 25 May 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/53/2 |
| 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 | 36th Battalion |
| Fate | Returned to Australia 8 April 1917 |
