| Regimental number | 621 |
| Religion | Methodist |
| Occupation | Labourer |
| Address | 50 Courtland Avenue, Ilford, Essex, England |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, Chas Pellow, 50 Courtland Avenue, Ilford, Essex, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, B Company |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Ceramic on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |