| Regimental number | 6135 |
| Place of birth | Balaklava South Australia |
| Religion | Baptist |
| Occupation | Labourer |
| Address | North Parade, South Australia |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs Ellen Theresa Pettman, 81 Mackinnon Parade, North Adelaide, South Australia |
| Enlistment date | 8 September 1916 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/44/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on 6 November 1916 |
