| Regimental number | 6/1754 |
| Address | Tira-ora, Pelorus Sound |
| Marital status | W |
| Next of kin | Son, R Wells, c/o J H Black, Tira-ora, Pelorus Sound |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 3rd Reinforcements, Canterbury Infantry Battalion |
| Embarkation details | Unit embarked from Wellington on board HMNZT 4 Tahiti on |
| Miscellaneous details | Nominal Roll Vol. 1: Canterbury Infantry Batln/Third |