| Regimental number | 367 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | McNamara Street, Queenstown, Tasmania |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, R Bellenger, McNamara Street, Queenstown, Tasmania |
| Previous military service | 91st Infantry |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 4, Reinforcement 5 |
| AWM Embarkation Roll number | 24/9/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A73 Commonwealth on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
