| Regimental number | 6011 |
| Place of birth | Belmont Tasmania |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, Mr W Wells, Plenty, Tasmania |
| Enlistment date | 3 May 1916 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board HMAT A70 Ballarat on 8 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 27 August 1917 |