| Regimental number | 5240 |
| Place of birth | Cootamundra New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 29 Ricards Avenue, Surry Hills, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Mrs G A Wilson, 29 Ricards Avenue, Surry Hills, New South Wales |
| Enlistment date | 29 November 1915 |
| Date of enlistment from Nominal Roll | 27 November 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Makarini on 1 April 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 7 July 1919 |
