| Regimental number | 4502 |
| Place of birth | Kew East Victoria |
| Religion | Church of England |
| Occupation | Hairdresser |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Sarah Pettit, 34 Mont Albert Road, East Kew Melbourne, Victoria |
| Enlistment date | 7 July 1915 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 29 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 21 March 1919 |
