| Regimental number | 6469 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Maltster |
| Address | 23 Asmore Street, East Brunswick, Victoria |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Mother, Mrs L Bell, 23 Asmore Street, East Brunswick, Victoria |
| Enlistment date | 14 June 1916 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 19 October 1917 |
