| Regimental number | 2250 |
| Place of birth | Oxford, England |
| Religion | Church of England |
| Occupation | Wood carter |
| Address | Gibbs Street, Dubbo, New South Wales |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs Alice Wilson, Gibbs Street, Dubbo, New South Wales |
| Enlistment date | 23 March 1916 |
| Place of enlistment | Dubbo, New South Wales |
| Rank on enlistment | Private |
| Unit name | 54th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/71/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A42 Boorara on 19 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 54th Battalion |
| Fate | Returned to Australia 15 April 1918 |
