| Regimental number | 10990 |
| Place of birth | Melbourne Victoria |
| Religion | Baptist |
| Occupation | Plasterer |
| Address | 123 Westgarth Street, Northcote, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Elizabeth Wilson, 123 Westgarth Street, Northcote, Victoria |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | 10th Field Company Engineers, Reinforcement 1 |
| AWM Embarkation Roll number | 14/29/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 3rd Divisional Engineers |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 219 Date: |