| Regimental number | 2834 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs L C Wilson, Harvey, Western Australia |
| Enlistment date | 9 March 1916 |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 19th Reinforcement |
| AWM Embarkation Roll number | 10/15/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT Mongolia on 17 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 22 July 1918 |
