| Regimental number | 3077 |
| Place of birth | New Plymouth New Zealand |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Cairns, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Mary Wells, Peeramon, Cairns, Queensland |
| Enlistment date | 28 October 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 23rd Reinforcement |
| AWM Embarkation Roll number | 10/10/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on 10 May 1917 |
| Rank from Nominal Roll | 2nd Corporal |
| Unit from Nominal Roll | 5th Light Horse Regiment |
| Fate | Returned to Australia 28 June 1919 |