| Regimental number | 3027 |
| Place of birth | Goulburn New South Wales |
| Religion | Church of England |
| Occupation | Loco fireman |
| Address | Clifford Street, Goulburn, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs A E Nelson, Clifford Street, Goulburn, New South Wales |
| Previous military service | 43rd Infantry |
| Enlistment date | 17 December 1917 |
| Date of enlistment from Nominal Roll | 17 February 1917 |
| Rank on enlistment | Private |
| Unit name | April 1918 Reinforcements |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | a G B D |
| Fate | Returned to Australia 6 September 1919 |
