| Regimental number | 4621 |
| Religion | Congregational |
| Occupation | Shearer |
| Address | Trades Hall, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs M Wilson, Parkenwydd, Farm Teroes Bridgend, South Wales |
| Enlistment date | 17 November 1915 |
| Date of enlistment from Nominal Roll | 15 November 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 12 February 1916 |
| Regimental number from Nominal Roll | 4612 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 12 May 1919 |
