| Regimental number | 66190 |
| Place of birth | Longmangaroo New South Wales |
| Religion | Roman Catholic |
| Occupation | Engineer |
| Address | Glebe, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs M R Welby, 67 Mt Vernon Street, Glebe, New South Wales |
| Previous military service | 29th Infantry |
| Enlistment date | 17 November 1917 |
| Date of enlistment from Nominal Roll | 24 December 1917 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 20 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Zealandic on 5 October 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th General Service Reinforcements |
| Fate | Returned to Australia 3 February 1919 |
