| Regimental number | 722 |
| Place of birth | Sussex England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Kedron Brook Road, Wilston, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Father, F Weller, Kedron Brook Road, Wilston, Brisbane, Queensland |
| Enlistment date | 5 April 1917 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 11, Reinforcement 12 |
| AWM Embarkation Roll number | 24/16/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia 12 December 1918 |
