| Regimental number | 9792 |
| Place of birth | Sydney New South Wales |
| Religion | Methodist |
| Occupation | Striker |
| Address | 361 Barkley Street, West Footscray, Victoria |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs Jessie Peters, 361 Barkley Street, West Footscray, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Field Ambulance, 16th Reinforcement |
| AWM Embarkation Roll number | 26/45/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A68 Anchises on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
