| Regimental number | 6347 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o Mr S Parker, Blayney, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, Mr T Wilson, Comleroy Road, Kurrajong, New South Wales |
| Enlistment date | 30 March 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 9 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Corps Details |
| Fate | Returned to Australia 22 July 1917 |
