| Regimental number | 2134 |
| Place of birth | Burra South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Redruth, Burra, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Mary Ann Pens, Redruth, Burra, South Australia |
| Enlistment date | 12 July 1916 |
| Rank on enlistment | Private |
| Unit name | 43rd Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/60/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A68 Anchises on 28 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 37th Battalion |
| Fate | Returned to Australia 14 January 1919 |
