| Regimental number | 8113 |
| Religion | Church of England |
| Occupation | Tobacconist |
| Address | Wentworth, Warbourne Street, Kensington, New South Wales |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, A G Wilson, Wentworth, Warbourne Street, Kensington, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Australian General Hospital, Special Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A17 Port Lincoln on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |