| Regimental number | 1392 |
| Place of birth | Forbes New South Wales |
| Religion | Protestant |
| Occupation | Miner |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mrs M J Wilson, Victoria Street, Granville, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/33/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
