| Regimental number | 55204 |
| Place of birth | Adelaide South Australia |
| Religion | No religion |
| Occupation | Hairdresser |
| Address | 322 High Street, Northcote, Victoria |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs M V Pepper, 117 Smith Street, Fitzroy, Victoria |
| Enlistment date | 10 October 1917 |
| Date of enlistment from Nominal Roll | 3 October 1917 |
| Rank on enlistment | Private |
| Unit name | 5th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 5 June 1918 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 10 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Battalion |
| Fate | Returned to Australia 10 April 1919 |