| Regimental number | 1000 |
| Place of birth | Burnie Tasmania |
| Religion | Church of England |
| Occupation | Plumber |
| Address | Burnie, Tasmania |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, A.T.Wells, Burnie, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 5th Reinforcement |
| AWM Embarkation Roll number | 10/8/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A59 Botanist on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | *Fredk spelt Frederick |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
