| Regimental number | 5221 |
| Place of birth | Slapham, London, England |
| School | Dulwich Public School, South Australia |
| Age on arrival in Australia | 9 |
| Religion | Church of England |
| Occupation | Orchardist |
| Address | Harvey, Western Australia |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs E Clark, 245 Underhill Road, East Dulwich London, England |
| Previous military service | Nil |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A9 Shropshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Died of wounds |
| Place of death or wounding | France |
| Age at death | 31 |
| Place of burial | Varennes Military Cemetery (Plot I, Row J, Grave 78), France |
| Panel number, Roll of Honour, Australian War Memorial | 179 |
| Miscellaneous information from cemetery records | Parents: Arthur Richard and Emma Ann WELLMAN. |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
