| Regimental number | 3023 |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Nhill, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Rebecca Sylvia Bellingham, Nhill, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Osterley on |
| Fate | No details of fate entered on Nominal Roll |