| Regimental number | 6747 |
| Place of birth | Newcastle New South Wales |
| Religion | Church of England |
| Occupation | Butter packer |
| Address | Lismore, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs S Wilson, No 2 Railway Terrace, Hope Street, South Brisbane, Queensland |
| Enlistment date | 7 June 1916 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A74 Marathon on 27 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 18 July 1919 |
