| Regimental number | 17682 |
| Place of birth | Sydney New South Wales |
| Religion | Methodist |
| Occupation | Accountant |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Annie Elizabeth Belshaw, 24 Mount Street, pyrmont, New South Wales |
| Enlistment date | 23 October 1916 |
| Rank on enlistment | Sapper |
| Unit name | March 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 10 May 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 10th Field Company Engineers |
| Fate | Returned to Australia 20 May 1919 |
