| Regimental number | 2267 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Bli-Bli via Nambour, Queensland |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Rachel Rebecca Wells, Bli-Bli via Nambour, NC Line, Queensland |
| Enlistment date | 22 March 1916 |
| Rank on enlistment | Private |
| Unit name | 49th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/66/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A42 Boorara on 16 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Returned to Australia 10 September 1917 |
