| Regimental number | 66262 |
| Place of birth | Hamilton New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Garra via Molong, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, A Peck, Manildra, New South Wales |
| Enlistment date | 15 July 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 20 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Zealandic on 5 October 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 28 August 1919 |
| Other details | Medal: British War Medal |
