| Regimental number | 10873 |
| Place of birth | Oakham England |
| Religion | Church of England |
| Occupation | Draper |
| Address | Manly, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs S E Wellington, Oakham, Rutland, England |
| Enlistment date | 9 September 1915 |
| Date of enlistment from Nominal Roll | 26 August 1915 |
| Rank on enlistment | Private |
| Unit name | Dental Details |
| AWM Embarkation Roll number | 26/105/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 18 May 1916 |
| Regimental number from Nominal Roll | 10875 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 22 August 1919 |