| Regimental number | 6738 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | Hastings, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs F Penn, 22 Jubilee Buildings, High Street, Wapping, London, England |
| Enlistment date | 28 August 1916 |
| Date of enlistment from Nominal Roll | 27 August 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 1 August 1919 |
