| Regimental number | 4793 |
| Place of birth | Horsham England |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | Warmleigh, Tweed Heads, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Catherine Wells, Shuckers Farm, Nuthurst, Horsham, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/43/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 26th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
