| Regimental number | 15678 |
| Place of birth | Balmain New South Wales |
| Religion | Church of England |
| Occupation | Telegraphist |
| Address | Paddington, New South Wales |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Mother, Mrs. Elizabeth Pepper, 43 William Street, Paddington, Sydney, New South Wales |
| Enlistment date | 3 April 1916 |
| Rank on enlistment | Sapper |
| Unit name | Divisional Signal Company 1, Reinforcement 22 |
| AWM Embarkation Roll number | 22/11/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Divisional Signal Company |
| Fate | Returned to Australia 30 January 1918 |
