| Date of birth | |
| Religion | Church of England |
| Occupation | Town clerk |
| Address | 709 Macarthur Street, Ballarat, Victoria |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs Ida May Wellington, 7 Macarthur Street, Ballarat, Victoria |
| Enlistment date | |
| Rank on enlistment | Lieutenant |
| Unit name | 21st Battalion, Headquarters |
| AWM Embarkation Roll number | 23/38/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Promotions |
Captain Unit: 21st Battalion Promotion date: |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |