| Regimental number | 15991 |
| Religion | Church of England |
| Occupation | Bricklayer |
| Address | 90 Goulburn Street, Hobart, Tasmania |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, A Bellette, 90 Goulburn Street, Hobart, Tasmania |
| Enlistment date | 1 November 1915 |
| Rank on enlistment | Gunner |
| Unit name | Howitzer Brigade 23, Reinforcement 3 |
| AWM Embarkation Roll number | 13/133/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 13 May 1916 |
| Miscellaneous details (Nominal Roll) | see other |
