| Regimental number | 2660 |
| Religion | Methodist |
| Occupation | Boilermaker |
| Address | 'Goodhope', Station Road, Meadowbank, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Christina Pietersen, 'Goodhope', Station Road, Meadowbank, New South Wales |
| Enlistment date | 3 May 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 14/13/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 August 1916 |
