| Regimental number | 21904 |
| Place of birth | Tenterfield New South Wales |
| Religion | Church of England |
| Occupation | Mining engineer |
| Address | c/o Dr Davis, 348 Bay Street, Port Melbourne, Victoria |
| Marital status | Widower |
| Age at embarkation | 31 |
| Next of kin | Sister, Miss Elsie Peberdy, 4 Beaufort Court, Forbes Street, Darlinghurst, New South Wales |
| Enlistment date | 23 June 1917 |
| Rank on enlistment | Sapper |
| Unit name | Engineering Field Companies, General Reinforcements |
| AWM Embarkation Roll number | 14/42/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 22 March 1918 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Engineers Details |
| Fate | Returned to Australia 5 September 1919 |
