| Regimental number | 505 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Fuelmonger |
| Address | Wilson Street, Lower Botany, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs E Bell, Wilson Street, Lower Botany, New South Wales |
| Enlistment date | 20 June 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 1, Reinforcement 8 |
| AWM Embarkation Roll number | 24/6/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 23 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 3 July 1919 |