| Regimental number | 2127 |
| Place of birth | Newbury England |
| Religion | Church of England |
| Occupation | Brickmaker |
| Address | Redfern, New South Wales |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs Emma Belcher, The Laurels, Eton Wick, Windsor, Berkshire, England |
| Enlistment date | 20 March 1916 |
| Date of enlistment from Nominal Roll | 13 March 1916 |
| Rank on enlistment | Private |
| Unit name | 56th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/73/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 4 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 3 July 1917 |