| Regimental number | 1952 |
| Place of birth | Ballarat, Victoria |
| Religion | Church of England |
| Occupation | Butcher |
| Address | c/o Miss L Belcher, Greville Street, Prahran, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Sister, Louisa Belcher, Greville Street, Prahran, Victoria |
| Enlistment date | 4 March 1915 |
| Date of enlistment from Nominal Roll | 8 March 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/29/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 17 April 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 14 December 1918 |