| Regimental number | 16179 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Mechanic |
| Address | Maryborough, Victoria |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Father, J Wilson, Dunolly Road, Maryborough, Victoria |
| Enlistment date | 19 October 1915 |
| Rank on enlistment | Private |
| Unit name | November 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 23 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Field Ambulance |
| Fate | Returned to Australia 4 June 1919 |