| Regimental number | 2905 |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Ringaroma, Tasmania |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Harriet Adelaide Wilson, Branxholm, Tasmania |
| Enlistment date | 6 October 1916 |
| Rank on enlistment | Private |
| Unit name | 40th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/57/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on 6 December 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
