| Regimental number | 1411 |
| Place of birth | Tamworth New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Red Range, via Glen Innes, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Jane Wells, Red Range, via Glen Innes, New South Wales |
| Enlistment date | 15 May 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, D Company |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Ceramic on 25 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 3 January 1916 |
