| Regimental number | 3300 |
| Place of birth | Newtown New South Wales |
| Religion | Church of England |
| Occupation | Jockey |
| Address | Rose Park, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs. Harriett N. Petherbridge, Grant Avenue, Rose Park, South Australia |
| Enlistment date | 17 February 1917 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 27th Reinforcement |
| AWM Embarkation Roll number | 10/8/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 9 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia 15 May 1919 |
| Other details | Medals: British War Medal, Victory Medal |
