| Regimental number | 3997 |
| Place of birth | Wanganui New Zealand |
| Religion | Church of England |
| Occupation | Overseer |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, A Wells, White Hart Hotel, Christchurch, New Zealand |
| Enlistment date | 20 November 1915 |
| Date of enlistment from Nominal Roll | 17 November 1914 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on 23 November 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 10 March 1918 |
