| Regimental number | 55679 |
| Place of birth | St Kilda Victoria |
| Religion | Church of England |
| Occupation | Salesman |
| Address | 229 Wattletree Road, East Malvern, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs E C Petherbridge, 229 Wattletree Road, East Malvern, Victoria |
| Enlistment date | 7 January 1918 |
| Rank on enlistment | Private |
| Unit name | 7th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A74 Marathon on 23 July 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
