| Regimental number | 4619 |
| Place of birth | Shoreham England |
| Religion | Church of England |
| Occupation | Stonemason |
| Address | Roseneath, Adderley Street, Auburn, New South Wales |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs E E Wells, Roseneath, Adderley Street, Auburn, New South Wales |
| Enlistment date | 6 September 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A70 Ballarat on 16 December 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 54th Battalion |
| Fate | Returned to Australia 1 November 1917 |
