| Regimental number | 812 |
| Place of birth | Zeehan Tasmania |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | c/o Mrs Peck, Exchange Hotel, Beaconsfield, Tasmania |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Grandparent, Mrs Peck, Exchange Hotel, Beaconsfield, Tasmania |
| Enlistment date | 2 April 1917 |
| Date of enlistment from Nominal Roll | 31 March 1917 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 4, Reinforcement 15 |
| AWM Embarkation Roll number | 24/9/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Indarra on 26 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia 6 May 1919 |
