| Regimental number | 5796 |
| Place of birth | Bowes Western Australia |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Simpson Street, Geraldton, Western Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs. S. Wellington, Simpson Street, Geraldton, Western Australia |
| Enlistment date | 17 January 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A31 Ajana on 15 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 1 June 1919 |
