| Regimental number | 1519A |
| Place of birth | Portland Victoria |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | c/o Mrs. Nellie Wilson, Crouch Street, Mount Gambier, South Australia |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs. Nellie Wilson, Crouch Street, Mount Gambier, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 11th Reinforcement |
| AWM Embarkation Roll number | 10/8/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A24 Benalla on |
| Regimental number from Nominal Roll | 1516 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Division Ammunition Column |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 1 Date: |