| Regimental number | 5974 |
| Place of birth | Burra South Australia |
| Religion | Church of England |
| Occupation | Bookkeeper |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Mother, Mrs R Pether, Forrest Range, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A50 Itonus on |