| Regimental number | 49 |
| Religion | Church of England |
| Occupation | Schoolmaster |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Lewis Wellard, Gloucester via Maitland, New South Wales |
| Enlistment date | |
| Rank on enlistment | SIG |
| Unit name | 15th Battalion, Headquarters |
| AWM Embarkation Roll number | 23/32/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A40 Ceramic on |
| Miscellaneous details (Nominal Roll) | see other |