| Regimental number | 5222 |
| Place of birth | N/A Victoria |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Kojonup Road, Katanning, Western Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs L Wells, Kojonup Road, Katanning, Western Australia |
| Enlistment date | 3 February 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A9 Shropshire on 31 March 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Effective abroad (still overseas) |
