| Regimental number | 2430 |
| Place of birth | Opotiki, New Zealand |
| Religion | Church of England |
| Occupation | Slaughterman |
| Address | Carlton, New South Wales |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs Isabella Wilson, 60 Reservoir Street, Surry Hills, Sydney, NSW. |
| Enlistment date | 2 May 1916 |
| Place of enlistment | Sydney, New South Wales |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 14/13/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 22 August 1916 |