| Regimental number | 4610 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Accountant |
| Address | Glenelg, South Australia |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Ethel Welburn, 24 Penzance Street, Glenelg, South Australia |
| Enlistment date | 10 August 1916 |
| Rank on enlistment | Private |
| Unit name | 32nd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/49/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A35 Berrima on 16 December 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia 1 February 1918 |
