| Regimental number | 1304 |
| Place of birth | Ulladulla New South Wales |
| Religion | Church of England |
| Occupation | Blacksmith |
| Address | 10 Collins Street, Surry Hills, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs I Pearman, 76 Sophia Street, Surry Hills, Sydney, New South Wales |
| Enlistment date | 25 May 1916 |
| Rank on enlistment | Private |
| Unit name | Light Trench Mortar Battery, Reinforcement 2 |
| AWM Embarkation Roll number | 13/130/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Rft LTMB |
| Fate | Returned to Australia 23 May 1917 |
