| Regimental number | 15651 |
| Place of birth | Black Forest South Australia |
| Religion | Baptist |
| Occupation | Lift attendant |
| Address | Black Forest, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs L M Wiles, Forrest Avenue, Black Forest, South Australia |
| Previous military service | 79th Infantry |
| Enlistment date | 1 February 1916 |
| Rank on enlistment | Private |
| Unit name | September 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A16 Port Melbourne on 23 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Casualty Clearing Station |
| Fate | Returned to Australia 21 June 1919 |
