| Regimental number | 4010 |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs M J Wells, 113 Burnbank Street, Ballarat, Victoria |
| Enlistment date | 19 January 1916 |
| Date of enlistment from Nominal Roll | 1 March 1916 |
| Rank on enlistment | Sapper |
| Unit name | No 4 Tunnelling Company and 1st Reinforcements (May 1916) |
| AWM Embarkation Roll number | 16/13/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A69 Warilda on 25 May 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 2nd Tunnelling Company |
| Fate | Returned to Australia 22 July 1917 |
