| Regimental number | 2130 |
| Place of birth | Launceston Tasmania |
| Religion | Church of England |
| Occupation | Miner |
| Address | Claremont, Tasmania |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Mother, Mrs Ida D Pennington, 22 Galvin Street, Launceston, Tasmania |
| Enlistment date | 11 August 1916 |
| Rank on enlistment | Private |
| Unit name | 40th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/57/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A49 Seang Choon on 23 September 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |