| Regimental number | 15520 |
| Place of birth | Milton New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Alexandria, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs P Pezet, Brunswick Road, Mullumbimby, North Coast, New South Wales |
| Enlistment date | 15 January 1916 |
| Date of enlistment from Nominal Roll | 24 January 1916 |
| Rank on enlistment | Private |
| Unit name | September 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 30 September 1916 |
| Regimental number from Nominal Roll | 5520 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | no 62 Dental Unit |
| Fate | Returned to Australia 15 January 1919 |
