| Regimental number | 53127 |
| Place of birth | Western Super Mere England |
| Religion | Church of England |
| Occupation | Quarryman |
| Address | Helidon, Queensland |
| Marital status | Widower |
| Age at embarkation | 36 |
| Next of kin | Daughter, Miss I M Wells, c/o Miss M Cran, Stockyard Creek, Helidon, Queensland |
| Enlistment date | 15 March 1918 |
| Date of enlistment from Nominal Roll | 13 March 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 2 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 8 May 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Effective abroad (still overseas) |
