| Regimental number | 1902 |
| Place of birth | Sydney New South Wales |
| Religion | Baptist |
| Occupation | Station hand |
| Address | 112 High Street, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Harriet Pethebridge, 112 High Street, North Sydney, New South Wales |
| Enlistment date | 28 April 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/53/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 4 September 1916 |
| Regimental number from Nominal Roll | 1902A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 36th Battalion |
| Fate | Returned to Australia 27 September 1918 |
