| Regimental number | 7562 |
| Place of birth | Geelong Victoria |
| Religion | Presbyterian |
| Occupation | Fitter |
| Address | Midland Junction, Western Australia |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs B Welsh, Boundary Road, Midland Junction, Western Australia |
| Enlistment date | 18 March 1917 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/28/5 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on 29 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | ARS |
| Fate | Returned to Australia 6 May 1919 |
