| Regimental number | 2158 |
| Place of birth | Kadina South Australia |
| Religion | Methodist |
| Occupation | Miner |
| Address | Norseman PO, Norseman, Western Australia |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Sister, Mrs Mary Pingelly, Lane Street, Broken Hill, New South Wales |
| Enlistment date | 22 July 1915 |
| Date of enlistment from Nominal Roll | 17 July 1915 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/45/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A20 Hororata on 1 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 12 November 1916 |
