| Regimental number | 52975 |
| Place of birth | Toowoomba Queensland |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Grassmere, Oakey, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs S J Belcher, Grassmere, Oakey, Queensland |
| Enlistment date | 22 February 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 2 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 8 May 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Motor Transport Section |
| Fate | Returned to Australia 1 September 1919 |
