| Regimental number | 4436 |
| Place of birth | Liscard, Liverpool, England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 28 Dudley Road, Marryatville, South Australia |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs C Bellis, 9 Broughton Road, Boulton, Cheshire, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A28 Miltiades on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Other details from Roll of Honour Circular | Enlisted 30 August 1915 - 10th Battalion, 14th Reinforcements. Taken on strength, 10th Battalion, 23 August 1916. Mortally wounded, 23 February 1917. |
| Fate | Died of wounds |
| Place of death or wounding | Somme sector, France |
| Date of death | |
| Age at death | 32 |
| Place of burial | St. Sever Cemetery Extension (Block O, Plot VII, Row G, Grave No. 2), Rouen, France |
| Panel number, Roll of Honour, Australian War Memorial | 58 |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |