| Regimental number | 57779 |
| Place of birth | Brisbane Queensland |
| Religion | Baptist |
| Occupation | Builder |
| Address | Boundary Street, Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs E Peardon, Boundary Street, West End, Brisbane, Queensland |
| Enlistment date | 28 May 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 4 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 5 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Service Corps Details |
| Fate | Returned to Australia 5 March 1919 |
