| Regimental number | 3391 |
| Place of birth | Wahgunyah Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Kingsley, via Mount Gambier, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, W Peck, Kingsley, via Mount Gambier, South Australia |
| Enlistment date | 6 September 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/19/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 2 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Field Artillery Brigade |
| Fate | Returned to Australia 8 April 1918 |