| Regimental number | 4152 |
| Place of birth | Wagga Wagga New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 76 Peel Street, Tamworth, New South Wales |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs Catherine Isabella Wilson, 76 Peel Street, Tamworth, New South Wales |
| Enlistment date | 4 September 1917 |
| Date of enlistment from Nominal Roll | 23 August 1917 |
| Rank on enlistment | Private |
| Unit name | 14th Light Horse Regiment, 33rd Reinforcement |
| AWM Embarkation Roll number | 10/19/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Canberra on 16 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Light Horse Regiment |
| Fate | Returned to Australia 12 April 1919 |
