| Regimental number | 7163 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Spring Hill, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs M Wells, c/o Mrs T Kay, Mason Street, North Fremantle, Western Australia |
| Enlistment date | 10 October 1917 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/42/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Canberra on 16 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia 12 July 1919 |
