| Regimental number | 6812 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Betts Street, Molong, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs R Peasely, Betts Street, Molong, New South Wales |
| Enlistment date | 10 July 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Machine Gun Battalion |
| Fate | Returned to Australia 12 June 1919 |