| Regimental number | 564 |
| Place of birth | London, England |
| Religion | Church of England |
| Occupation | Chaff-cutter |
| Address | Orange PO, Orange, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs A Wilson, 115 Avelina Road, Nunhead, Peckham, London, SE |
| Enlistment date | 6 January 1916 |
| Place of enlistment | Lithgow, New South Wales |
| Rank on enlistment | Private |
| Unit name | 3rd Pioneer Battalion, B Company |
| AWM Embarkation Roll number | 14/15/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on 6 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Pioneer Battalion |
| Fate | Returned to Australia 17 May 1919 |
