| Regimental number | 7568 |
| Place of birth | Kiama New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Tamworth, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs M M Wilson, Duri, Tamworth, New South Wales |
| Enlistment date | 12 March 1917 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/20/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 6 June 1918 |
