| Regimental number | 7563 |
| Place of birth | Broken Hill New South Wales |
| Religion | Methodist |
| Occupation | Railway employee |
| Address | Trafalgar, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, D A Wilson, 43 Lake Street, Trafalgar, Western Australia |
| Enlistment date | 16 March 1917 |
| Date of enlistment from Nominal Roll | 7 March 1917 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/28/5 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on 29 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 12 December 1918 |
