| Regimental number | 10012 |
| Place of birth | Sydney New South Wales |
| Religion | Congregational |
| Occupation | fitter and turner |
| Address | Montague Road, Neutral Bay, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Louisa Willson, 'Gloucester', Montague Road, Neutral Bay, New South Wales |
| Enlistment date | 1 February 1916 |
| Date of enlistment from Nominal Roll | 4 January 1916 |
| Rank on enlistment | Sapper |
| Unit name | 9th Field Company Engineers |
| AWM Embarkation Roll number | 14/28/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A31 Ajana on 5 July 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 9th Field Company Engineers |
| Fate | Returned to Australia 11 May 1919 |
