| Regimental number | 7064 |
| Place of birth | Moonta South Australia |
| Religion | Methodist |
| Occupation | Engine driver |
| Address | Norwood, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs A Petherick, 27 Cairns Street, Norwood, South Australia |
| Enlistment date | 24 November 1916 |
| Rank on enlistment | Sapper |
| Unit name | Tunnelling Companies Sept 1916 to Feb 1918 Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 11 May 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Australian Electrical, Mechanical Mining & Boring Company |
| Fate | Returned to Australia 10 April 1919 |
