| Regimental number | 6458 |
| Place of birth | The Bluff New Zealand |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Ardmona, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Sister, Mrs Mena Wells, Baarmutha, Beechworth, Victoria |
| Enlistment date | 13 November 1916 |
| Date of enlistment from Nominal Roll | 30 October 1916 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/39/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 23 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Veterinary Evacuation Station |
| Fate | Returned to Australia 1 April 1917 |