| Regimental number | 6426 |
| Place of birth | Kadina South Australia |
| Religion | Methodist |
| Occupation | Coachbuilder |
| Address | 71 Payneham Road, St Peters, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs R Pearce, 71 Payneham Road, St Peters, South Australia |
| Enlistment date | 6 August 1915 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Reinforcement 12 |
| AWM Embarkation Roll number | 26/47/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board TRANSPORT HMS Malwa on 2 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Field Ambulance |
| Fate | Returned to Australia 2 June 1919 |
