| Regimental number | 7840 |
| Place of birth | Ashton Under Lyme England |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Vic Park, Western Australia |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Elizabeth Wells, 67 Bourke Street, Victoria Park, Western Australia |
| Enlistment date | 20 April 1917 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 26th Reinforcement |
| AWM Embarkation Roll number | 23/33/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 1 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 25 January 1919 |