| 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 | 1 December 1914 |
| 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 19 February 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 11 March 1916 |
