| Regimental number | 17158 |
| Date of birth | |
| Place of birth | Ararat, Victoria |
| Religion | Church of England |
| Occupation | Clerk, S A R |
| Address | Goodwood, South Australia |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs E J Wells, c/o Mrs F Terrill, 3 Bedigo Street, Prahran, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Place of enlistment | Adelaide, South Australia |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps February 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 13th Field Ambulance |
| Fate | Returned to Australia |
| Discharge date | |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death | |
| Age at death | 72 |
| Place of burial | West Terrace Cemetery |