| Regimental number | 4505 |
| Place of birth | Melbourne Victoria |
| Religion | Roman Catholic |
| Occupation | Groom |
| Address | 131 Palmer Street, Darlinghurst, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs S Peirce, Glenfalloch Station, via Holbrook, New South Wales |
| Enlistment date | 13 December 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 54th Battalion |
| Fate | Returned to Australia 20 November 1918 |
