| Regimental number | 5445 |
| Place of birth | Fremantle Western Australia |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 204 South Terrace, Fremantle, Western Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs M C Bell, 204 South Terrace, Fremantle, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A60 Aeneas on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 61 Date: |