
| Regimental number | 4359 |
| Place of birth | Deloraine, Tasmania |
| Religion | Baptist |
| Occupation | Farmer |
| Address | 109 Margaret Street, Launceston, Tasmania |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Sister, Miss M Belbin, Sebrina, Tasmania |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | AIF Headquarters |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 61 Date: |