| Regimental number | 5216 |
| Place of birth | Moriarty Tasmania |
| Religion | Roman Catholic |
| Occupation | Baker |
| Address | Moriarty, Tasmania |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, Mr B Wells, Elizabeth Town, Tasmania |
| Enlistment date | 3 February 1916 |
| Date of enlistment from Nominal Roll | 4 February 1916 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 29 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 52nd Battalion |
| Fate | Returned to Australia 11 January 1918 |
