| Regimental number | 3475A |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Han Street, Mount Morgan, Queensland |
| Marital status | Married |
| Age at embarkation | 45 |
| Next of kin | Wife, Mrs P E Pelin, Han Street, Mount Morgan, Queensland |
| Enlistment date | 16 December 1915 |
| Rank on enlistment | Sapper |
| Unit name | No 1 Mining Corps, 4th Reinforcements |
| AWM Embarkation Roll number | 16/8/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 16 August 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Mining Corps |
| Fate | Returned to Australia 4 May 1917 |
