| Regimental number | 15627 |
| Place of birth | London England |
| Religion | Roman Catholic |
| Occupation | Dental assistant |
| Address | 'Sonoma', Devonshire Street, Croydon, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs F A Welch, 'Sonoma', Devonshire Street, Croydon, New South Wales |
| Enlistment date | 1 February 1916 |
| Date of enlistment from Nominal Roll | 2 February 1916 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 11, Reinforcement 2 |
| AWM Embarkation Roll number | 13/38/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 14 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Dental Service |
| Fate | Returned to Australia 23 July 1919 |
