| Regimental number | 4572 |
| Place of birth | Sale Victoria |
| Religion | Roman Catholic |
| Occupation | Driver |
| Address | Heyfield, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs A Pettit, Heyfield, Victoria |
| Enlistment date | 18 September 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Corps Headquarters |
| Fate | Returned to Australia 19 June 1919 |
