| Regimental number | 623 |
| Place of birth | Ballarat, Victoria |
| Religion | Church of England |
| Occupation | Carpenter and joiner |
| Address | Ballarat South, Victoria |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs Annie Marie Wilson, 116 Dawson Street, Ballarat South, Victoria |
| Enlistment date | 6 March 1916 |
| Place of enlistment | Ballarat, Victoria |
| Rank on enlistment | Private |
| Unit name | 39th Battalion, B Company |
| AWM Embarkation Roll number | 23/56/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 27 May 1916 |
| Regimental number from Nominal Roll | 623A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 37th Battalion |
| Fate | Returned to Australia 12 March 1918 |
