| Regimental number | 1002 |
| Place of birth | Ross England |
| Religion | Church of England |
| Occupation | Farm labourer |
| Address | Burrawong Station, Molong, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Mary Jane Bellamy, 19 Niagara Road, Henley-on-Thames, England |
| Enlistment date | 27 January 1916 |
| Rank on enlistment | Private |
| Unit name | May 1916 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Morea on 27 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Light Horse Regiment |
| Fate | Returned to Australia 9 July 1919 |
