| Regimental number | *21062 |
| Religion | Church of England |
| Occupation | Motor driver |
| Address | Richmond, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs E A Peck, Paget Street, Richmond, New South Wales |
| Enlistment date | 11 October 1918 |
| Date of enlistment from Nominal Roll | 1 May 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Sea Transport Staff, Section 10 (Mental) |
| AWM Embarkation Roll number | 26/104/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 2 November 1918 |
| Regimental number from Nominal Roll | 21062 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | No 10 Sea Transport Staff |
| Fate | Returned to Australia 28 March 1919 |
