| Regimental number | 4787 |
| Place of birth | Goulburn New South Wales |
| Religion | Church of England |
| Occupation | Carter |
| Address | 21 Moor Street, Drummoyne, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs I T Welch, 26 Moore Street, Drummoyne, New South Wales |
| Enlistment date | 11 January 1916 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 13 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 17 October 1916 |