| Regimental number | 1419A |
| Place of birth | Ashburton England |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs W Pengilley, Orley House, Ashburton Devon, England |
| Enlistment date | 11 January 1915 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A48 Seang Bee on 13 February 1915 |
| Regimental number from Nominal Roll | 1419 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 29 July 1915 |
