| Regimental number | 6263 |
| Religion | Church of England |
| Occupation | Blacksmith |
| Address | Coombe Street, Collie, Western Australia |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Florence Isabella Pengilly, Coombe Street, Collie, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian Stationary Hospital 2, Reinforcement 11 |
| AWM Embarkation Roll number | 26/71/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A34 Benalla on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Stationary Hospital |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | *surname two spellings Pengilly and Pengilley |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
