| Regimental number | 2371 |
| Religion | Church of England |
| Occupation | Overseer |
| Address | Cuon, Sigotoka, Fiji |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Amy Constance Bellany, Neridah Street, Chatswood, New South Wales |
| Enlistment date | 25 October 1915 |
| Date of enlistment from Nominal Roll | 11 October 1915 |
| Rank on enlistment | PTE Acting SGT MAJ |
| Unit name | 30th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/47/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 11 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 10 September 1917 |
