| Regimental number | 6669 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Collington, Nurinda, Brisbane Valley Line, Queensland |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Mother, Mrs J Peters, Gunnedah, North West Line, New South Wales |
| Enlistment date | 24 November 1916 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/43/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 26th Battalion |
| Fate | Returned to Australia 12 December 1918 |