| Regimental number | 57937 |
| Place of birth | Adelaide South Australia |
| Religion | Methodist |
| Occupation | Tailor |
| Address | 104 Plenty Road, South Preston, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs A Wells, 104 Plenty Road, South Preston, Victoria |
| Enlistment date | 9 January 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 5 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Effective abroad (still overseas) |
