| Regimental number | 1640 |
| Place of birth | Penrith New South Wales |
| Religion | Church of England |
| Occupation | Wharf labourer |
| Address | 37 Trouton Street, Balmain, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs M Peisley, 37 Trouton Street, Balmain, Sydney, New South Wales |
| Enlistment date | 4 September 1916 |
| Date of enlistment from Nominal Roll | 24 August 1916 |
| Rank on enlistment | Private |
| Unit name | Light Trench Mortar Battery, Reinforcement 4 |
| AWM Embarkation Roll number | 13/130/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 9 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 5 November 1917 |
