
| Regimental number | 21276 |
| Religion | Roman Catholic |
| Occupation | Jockey |
| Address | Thornbury, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, W Wilson, Clarke Street, Northcote, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Sea Transport Staff Sections 7-8 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |