| Regimental number | 5342 |
| Place of birth | Mildura, Victoria |
| Religion | Presbyterian |
| Occupation | Painter |
| Address | Northam, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, A Bellgrove, Evans Street, Geraldton, Western Australia |
| Enlistment date | 25 February 1916 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A60 Aeneas on 17 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Effective abroad (still overseas) |
