| Regimental number | 5451 |
| Place of birth | Petersburg South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Jamestown, South Australia |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs M A Wilson, Jamestown, South Australia |
| Enlistment date | 26 January 1916 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A60 Aeneas on 11 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |