| Regimental number | 3747 |
| Place of birth | Hobart, Tasmania |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | 88 Lansdowne Crescent, Hobart, Tasmania |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs M A Bellette, 88 Lansdowne Crescent, Hobart, Tasmania |
| Enlistment date | 25 February 1915 |
| Rank on enlistment | Private |
| Unit name | Infantry Brigade 7, Field Ambulance 7, Section C |
| AWM Embarkation Roll number | 26/50/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A11 Ascanius on 25 May 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Field Ambulance |
| Fate | Effective abroad (still overseas) |
