| Regimental number | 20534 |
| Place of birth | Hamley Bridge, South Australia |
| Religion | Congregational |
| Occupation | Civil servant |
| Address | Largs Bay, South Australia |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs E M Bell, Kanowna Road, Largs Bay, South Australia |
| Enlistment date | 3 October 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 18 July 1919 |
