| Regimental number | 2109 |
| Religion | Church of England |
| Occupation | Ropeworker |
| Address | Summer Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs. Rebecca Jean Wells, 1 Dover Street, Summer Hill, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/48/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 47th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
