| Regimental number | 4362 |
| Place of birth | London, England |
| Religion | Church of England |
| Occupation | Tailor |
| Address | 172 Forbes Street, Darlinghurst, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs M Bell, 18 Wade Street, Perth, Western Australia |
| Enlistment date | 3 January 1916 |
| Place of enlistment | Sydney, New South Wales |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 21 March 1919 |
