| Regimental number | 6296 |
| Place of birth | Richmond New South Wales |
| Religion | Baptist |
| Occupation | Labourer |
| Address | Teroit Street Richmond, New South Wales |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Mother, J Pearce, Teroit Street, Richmond, New South Wales |
| Enlistment date | 25 April 1916 |
| Date of enlistment from Nominal Roll | 23 March 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 9 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 2 January 1919 |