| Regimental number | 20743 |
| Place of birth | Rosevears Tasmania |
| Religion | Congregational |
| Occupation | Painter |
| Address | Newtown, Tasmania |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs E Wilson, c/o Prof Cobbitt, Holebrook Place, 94 Davey Street, Hobart, Tasmania |
| Enlistment date | 12 December 1917 |
| Date of enlistment from Nominal Roll | 28 November 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |