| Regimental number | 2404 |
| Place of birth | Nyngan New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Myrtle Street, Gilgandra, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Sister, Miss Christiana Wilson, Miller's Point, Sydney, New South Wales |
| Enlistment date | 9 October 1915 |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 16th Reinforcement |
| AWM Embarkation Roll number | 10/12/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A56 Palermo on 18 April 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Field Company Engineers |
| Fate | Returned to Australia 3 July 1919 |
