| Regimental number | 6571 |
| Place of birth | Balaklava South Australia |
| Religion | Church of England |
| Occupation | Cart hand |
| Address | North Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs E T Pettman, 81 MacKinnon Parade, North Adelaide, South Australia |
| Enlistment date | 29 August 1916 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A16 Port Melbourne on 21 October 1916 |
