| Regimental number | 2091 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Drover |
| Address | Inglewood |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs. Rosann Wells, Ashford P.O., New South Wales |
| Enlistment date | 10 September 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 14th Reinforcement |
| AWM Embarkation Roll number | 10/7/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A62 Wandilla on 31 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Field Artillery Brigade |
| Fate | Effective abroad (still overseas) |