| Regimental number | 5738 |
| Place of birth | Burton On Trent England |
| Religion | Church of England |
| Occupation | Chemist |
| Address | Dululu via Mount Morgan, Queensland |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs M Pegg, Dululu, Dawson Valley Line Mount Morgan, Queensland |
| Enlistment date | 1 January 1916 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A49 Seang Choon on 4 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Field Ambulance |
| Fate | Returned to Australia 15 January 1919 |
