| Regimental number | 17237 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Plasterer |
| Address | 34 Milton Street, Ashfield, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, W Wilson, 34 Milton Street, Ashfield, New South Wales |
| Enlistment date | 14 January 1916 |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column 2, Reinforcement 6 |
| AWM Embarkation Roll number | 25/90/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 22 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
