| Regimental number | 7798 |
| Place of birth | Warren New South Wales |
| Religion | Church of England |
| Occupation | Night officer, railways |
| Address | Warren, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, W Wilson, Lawson Street, Warren, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | First Australian General Hospital, Special Reinforcements |
| AWM Embarkation Roll number | 26.65.3RSSPEC |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Field Ambulance |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 189 Date: |
| Date of death | |
| Place of burial | Macquarie Park Cemetery |