| Regimental number | 4105 |
| Place of birth | Ravenswood Queensland |
| Religion | Church of England |
| Occupation | Bushman |
| Address | Ackers Street, Hermit Park, Townsville, Queensland |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Kate Peek, Ackers Street, Hermit Park, Townsville, Queensland |
| Enlistment date | 18 June 1917 |
| Rank on enlistment | Private |
| Unit name | 4th Pioneer Battalion, Reinforcement 11 |
| AWM Embarkation Roll number | 14/16/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 1 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Pioneer Battalion |
| Fate | Returned to Australia 20 December 1918 |
