| Regimental number | 1658 |
| Religion | Church of England |
| Occupation | Farm labourer |
| Address | 6 Dockway Square, North Shields, Northumberland, England |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Aunt, Miss Mary Bell, 6 Dockway Square, North Shields, Northumberland, England |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 57th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/74/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 59th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |