| Regimental number | 3407 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Motor driver |
| Address | Mt. Wilga, Hornsby, New South Wales |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs. Evelyn M. Bellamy, c/o W.H. Naylor, Rosamond Street, Mt. Wilga, Hornsby, New South Wales |
| Enlistment date | 31 March 1916 |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 29th Reinforcement |
| AWM Embarkation Roll number | 10/11/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 September 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Motor Transport Section |
| Fate | Effective abroad (still overseas) |
