| Regimental number | 9568 |
| Place of birth | Paddington New South Wales |
| Religion | Church of England |
| Occupation | Boiler attendant |
| Address | Clifton Hill, Victoria |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Father, W Pepper, 20 Horne Street, Clifton Hill, Victoria |
| Enlistment date | 12 November 1917 |
| Rank on enlistment | Sapper |
| Unit name | Tunnelling Companies, January 1918 Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 28 February 1918 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 2nd Tunnelling Company |
| Fate | Returned to Australia 10 April 1919 |
