| Regimental number | 13 |
| Place of birth | Moyston, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Moyston, Victoria |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs Catherine Bellamy, Moyston, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian Naval & Military Expeditionary Force (Queensland Reinforcement) |
| Fate | No details of fate entered on Nominal Roll |