| Regimental number | 6628 |
| Place of birth | Bayfield, Queensland |
| School | Rest Hill State School, Mt Morgan, Queensland |
| Religion | Church of England |
| Occupation | Stockman |
| Address | Yeppoon, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, W Wainwright, Byfield via Yeppoon, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A36 Boonah on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Other details from Roll of Honour Circular | He was the great grandson of William Bellem who lost an eye and an arm in the Crimean War. |
| Fate | Killed in Action |
| Place of death or wounding | Polygon Wood, Ypres, Belgium |
| Age at death | 20.9 |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
