| Regimental number | 5631 |
| Place of birth | Port Adelaide South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | South Kalgoorlie, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs S Belcher, 1201 Edgar Street, South Kalgoorlie, Western Australia |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | Tunnelling Companies, October 1916, Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Tunnelling Company |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |