| Regimental number | 12582 |
| Place of birth | Melbourne, Victoria |
| Religion | Roman Catholic |
| Occupation | Cutter |
| Address | Collingwood, Victoria |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs B Belcher, 19 Peel Street, Collingwood, Victoria |
| Enlistment date | 10 January 1916 |
| Date of enlistment from Nominal Roll | 24 January 1916 |
| Rank on enlistment | Motor Transport Driver |
| Unit name | |
| AWM Embarkation Roll number | 25/29/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A49 Seang Choon on 23 September 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Mechanical Transport Company |
| Fate | Returned to Australia 24 June 1919 |
