| Regimental number | 4504 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Farm labourer |
| Address | Karuah, via Raymond Terrace, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, P Peachey, c/o Mrs White, Tahlee, Karuah, via Raymond Terrace, New South Wales |
| Enlistment date | 15 December 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | AAPC |
| Fate | Returned to Australia 9 July 1919 |
