| Religion | Church of England |
| Occupation | Labourer |
| Address | Williamstown, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs M Wilson, Williamstown, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A15 Star Of England on |