| Regimental number | 5669 |
| Place of birth | Plumstead England |
| Religion | Church of England |
| Occupation | Butcher |
| Address | 638 Edmond Street, Beaconsfield, South Fremantle, Western Australia |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs Coralie Kate Bell, 638 Edmond Street, Beaconsfield South Fremantle, Western Australia |
| Enlistment date | 20 March 1916 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/33/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A48 Seang Bee on 18 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 3 March 1919 |