| Regimental number | 4001 |
| Place of birth | Albany Western Australia |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Gordon Street, Albany, Western Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, R Weltch, Town Hall, Albany, Western Australia |
| Enlistment date | 14 September 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/28/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board RMS Mongolia on 22 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 31 August 1916 |
