| Regimental number | 3967 |
| Place of birth | Point McLeay South Australia |
| Religion | Protestant |
| Occupation | Labourer |
| Address | Mission Station, South Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs E Wilson, Port McLeay Mission Station, South Australia |
| Enlistment date | 11 August 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/27/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Malwa on 2 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 5 January 1919 |
| Date of death | 25 September 1961 |
| Place of burial | Raukkan Cemetery |