| Regimental number | 5117 |
| Place of birth | Marsden Queensland |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Cedar Grove, Beaudesert, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Mary Wells, Cedar Grove, Beaudesert, Queensland |
| Enlistment date | 25 January 1916 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/43/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A49 Seang Choon on 4 May 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia 28 October 1918 |