| Regimental number | 6921 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Moonee Ponds, Victoria |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Ada Wilson, 22 Homer Street, Moonee Ponds, Victoria |
| Enlistment date | 13 November 1916 |
| Date of enlistment from Nominal Roll | 30 November 1916 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/39/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia 7 July 1919 |
