| Regimental number | 1773 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Lumper |
| Address | 206 Collins Street, West Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs M T Wells, 206 Collins Street, West Perth, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/15/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT RMS Mongolia on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Light Horse Regiment |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Western Australia Garden of Remembrance |
| Date of death |