| Regimental number | 3651 |
| Place of birth | Cunnamulla Queensland |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | St George, Queensland |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs Mary Jane Pettiford, St George, Queensland |
| Enlistment date | 20 November 1916 |
| Rank on enlistment | Private |
| Unit name | 47th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/64/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A28 Miltiades on 2 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Returned to Australia 19 April 1919 |