| Regimental number | 90 |
| Place of birth | Kingston On Thames England |
| Religion | Church of England |
| Occupation | Motor driver |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Catherine Wellbelove, Red Lion Road, Talworth, Keyston-on-Thames, Surrey, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Field Ambulance, B Squadron |
| AWM Embarkation Roll number | 26/46/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board Transport A7 Medic on |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | 3rd Field Ambulance |
| Fate | Effective abroad (still overseas) |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 31 Date: |
| Other details | Medals: Military Medal, 1914-15 Star, British War Medal, Victory Medal |