| Regimental number | 4620 |
| Place of birth | Narromine New South Wales |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Darling Street, Dubbo, New South Wales |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs Gertrude Wilson, Darling Street, Dubbo, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on |
| Date of death | |
| Place of burial | Rookwood Crematorium |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
