| Regimental number | 4574 |
| Place of birth | Hobart Tasmania |
| Religion | Church of England |
| Occupation | Cab driver |
| Address | 35 Melbourne Street, Hobart, Tasmania |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, Mr J Pelham, 35 Melbourne Street, Hobart, Tasmania |
| Enlistment date | 2 November 1915 |
| Date of enlistment from Nominal Roll | 22 October 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A69 Warilda on 8 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Returned to Australia 6 June 1918 |