| Regimental number | 3167 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Fireman |
| Address | Auburn, New South Wales |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs Kezia Jane Wilson, Joseph Street, Lidcombe, New South Wales |
| Enlistment date | 6 November 1916 |
| Rank on enlistment | Private |
| Unit name | 34th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/51/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 34th Battalion |
| Fate | Returned to Australia 6 November 1918 |
