| Regimental number | 3655 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 106 Cameron Street, Paddington, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Guardian, Mary Jane Pepper, 106 Cameron Street, Paddington, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 33rd Reinforcement |
| AWM Embarkation Roll number | 10/12/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Canberra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Railway Operating Company |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
