| Regimental number | 3436 |
| Place of birth | Liverpool, England |
| Religion | Church of England |
| Occupation | Saddler |
| Address | Menangle Street, Picton, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Sarah Wilson, Menangle Street, Picton, New South Wales |
| Enlistment date | 12 April 1917 |
| Place of enlistment | Sydney, New South Wales |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 29th Reinforcement |
| AWM Embarkation Roll number | 10/12/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 September 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Light Horse Regiment |
| Fate | Returned to Australia 15 January 1919 |
