| Regimental number | 3004 |
| Place of birth | Grose Vale New South Wales |
| Religion | Church of England |
| Occupation | Orchardist |
| Address | Richmond, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Ellen Wilson, Paget Street, Richmond, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 57th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/74/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A19 Afric on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Died of disease |
| Place of burial | Mont Huon Military Cemetery (Plot V, Row M, Grave No. 4A), Le Treport, France |
| Panel number, Roll of Honour, Australian War Memorial | 164 |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
