| Regimental number | 4867 |
| Place of birth | Raunds England |
| Religion | Church of England |
| Occupation | Mill hand |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs S Pentelow, 10 Beach Hill, Rounds, near Wellingborough, Northampton, England |
| Enlistment date | 28 October 1915 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia 8 April 1918 |
| Date of death | 2 December 1965 |
| Place of burial | Fawkner Cemetery |
