
| Regimental number | 10643 |
| Religion | Methodist |
| Occupation | Saddler Corporal |
| Address | West Kempsey, New South Wales |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs F. Piggott, same address |
| Enlistment date | |
| Rank on enlistment | SDLR |
| Unit name | 3rd Divisional Train, 24 Company Army Service Corps |
| AWM Embarkation Roll number | 25/26/3 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 24th Company, Australian Army Service Corps |
| Fate | Returned to Australia |