| Regimental number | 3504 |
| Place of birth | Candelo New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Woodford, North Coast Line, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Eliza Jane Wilson, Woodford, North Coast Line, Queensland |
| Enlistment date | 18 September 1916 |
| Rank on enlistment | Private |
| Unit name | 52nd Battalion 9th Reinforcement |
| AWM Embarkation Roll number | 23/69/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A33 Ayrshire on 24 January 1917 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | Machine Gun Battalion Details |
| Fate | Returned to Australia 19 June 1919 |