| Regimental number | 26983 |
| Place of birth | Penguin, Tasmania |
| Religion | Church of England |
| Occupation | Hardware assistant |
| Address | 417 Barker Road, Subiaco, Western Australia |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs F E A Bellion, 417 Barker Road, Subiaco, Western Australia |
| Enlistment date | 1 February 1916 |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 10, Reinforcement 5 |
| AWM Embarkation Roll number | 13/37/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A15 Port Sydney on 7 September 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 10th Field Artillery Brigade |
| Fate | Returned to Australia 11 December 1918 |
