| Regimental number | 2021 |
| Place of birth | Thirsk, England |
| Religion | Church of England |
| Occupation | Horse driver |
| Address | Nth Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Frances Mary Wilson, Eden Hall, Nook Avenue, Nth Sydney, New South Wales |
| Enlistment date | 21 February 1916 |
| Place of enlistment | Bathurst, New South Wales |
| Rank on enlistment | Private |
| Unit name | 45th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/62/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 22 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
