| Regimental number | 3476A |
| Religion | Church of England |
| Occupation | Mining Engineer |
| Address | Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs L J Peppercorn, 51 Regent Street, Paddington, New South Wales |
| Enlistment date | 22 February 1916 |
| Rank on enlistment | Sapper |
| Unit name | No 1 Mining Corps, 4th Reinforcements |
| AWM Embarkation Roll number | 16/8/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 16 August 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |
