| Regimental number | 2143 |
| Place of birth | Charters Towers Queensland |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Proserpine, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, Mrs Mary Elizabeth Hebb, Gregory Street, Bowen, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/58/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Macgillivray on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 41st Battalion |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: Military Medal, British War Medal, Victory Medal |
| Miscellaneous details | Surname incorrectly entered on Embarkation Roll as PEMBERTHY. |