| Regimental number | 8426 |
| Place of birth | Glanville, South Australia |
| Religion | Methodist |
| Occupation | Railway porter |
| Address | Aldinga, South Australia |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, M L Pengilly, Aldinga, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Reinforcement 13 |
| AWM Embarkation Roll number | 26/47/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Field Ambulance |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death | |
| Age at death | 87 |
| Place of burial | Willaston Cemetery, South Australia |