| Regimental number | 3476 |
| Place of birth | Tumbarumba New South Wales |
| Religion | Church of England |
| Occupation | Mining engineer |
| Address | Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Lucy Jane Peppercorn, 51 Regent Street, Paddington, Sydney, New South Wales |
| Enlistment date | 22 February 1916 |
| Rank on enlistment | Sapper |
| Unit name | August 1916 Reinforcements |
| AWM Embarkation Roll number | 16/14/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 16 August 1916 |
| Regimental number from Nominal Roll | 3476A |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |