| Regimental number | 4905 |
| Place of birth | Ballarat Victoria |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Francis Street, Peterhead, South Australia |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Mother, Mrs M F Wells, Penny Street, Exeter, South Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Mongolia on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia |
| Date of death |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
