| Regimental number | 2465 |
| Place of birth | Tumbarumba New South Wales |
| Religion | Church of England |
| Occupation | Storeman |
| Address | Benalla, Victoria |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs Agnes Nicol Bellis, Benalla, Victoria |
| Enlistment date | 12 July 1915 |
| Date of enlistment from Nominal Roll | 13 July 1915 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/39/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Osterley on 29 September 1915 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia 30 January 1918 |
