| Regimental number | 5791 |
| Place of birth | Fairfield New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Boori, Trafalgar Parade, Concord, New South Wales |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Mother, Mrs A Wilkinson, c/o Mrs L E Fowero, Trafalgar Parade, Concord, New South Wales |
| Enlistment date | 31 January 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 20 April 1919 |
