| Regimental number | 1521 |
| Religion | Wesleyan |
| Occupation | Labourer |
| Address | c/o Mrs H Peisley, Gibb Street, Drummoyne, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mrs H Peisley, Gibb Street, Drummoyne, New South Wales |
| Enlistment date | 3 December 1914 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/19/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A49 Seang Choon on 11 February 1915 |
| Fate | No details of fate entered on Nominal Roll |
