| Regimental number | 1721 |
| Place of birth | Laxfield England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Mirani via Mackay, Queensland |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs Gertrude Pearce, Mirani PO, Mirani via Mackay, Queensland |
| Enlistment date | 14 February 1916 |
| Rank on enlistment | Private |
| Unit name | 47th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/64/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Hawkes Bay on 20 April 1916 |
| Regimental number from Nominal Roll | 1721A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 47th Battalion |
| Fate | Returned to Australia 16 July 1917 |
