| Regimental number | 27634 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Telephone mechanic |
| Address | Shannon Street, Glenelg, South Australia |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs S Wells, 27 Gosburton Road, Balham, London, S W, England |
| Enlistment date | 10 January 1916 |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column 3, Reinforcement 4 |
| AWM Embarkation Roll number | 25/91/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A30 Borda on 20 October 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd DAE |
| Fate | Effective abroad (still overseas) |
