| Regimental number | 236 |
| Place of birth | Mackay Queensland |
| Religion | Presbyterian |
| Occupation | Coach painter |
| Address | Evans Street, Mackay, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Jessie Forgan Wilson, Evans Street, Mackay, Queensland |
| Enlistment date | 28 February 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 11, Reinforcement 1 |
| AWM Embarkation Roll number | 24/16/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 5 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
