| Regimental number | 6163 |
| Place of birth | Darlington England |
| Religion | Church of England |
| Occupation | Butcher |
| Address | 1 Brown Street, Paddington, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs N Pigg, Brown Street, Paddington, New South Wales |
| Enlistment date | 14 March 1915 |
| Rank on enlistment | Private |
| Unit name | Infantry Brigade 5, 15th Company, Army Service Corps |
| AWM Embarkation Roll number | 25/103/1 |
| Embarkation details | Unit embarked from |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Division Train |
| Fate | Returned to Australia 4 June 1919 |
