| 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 | 22 November 1915 |
| 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 18 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 47th Battalion |
| Fate | Returned to Australia 10 July 1916 |
