| Regimental number | 21844 |
| Place of birth | Capetown South Africa |
| Religion | Methodist |
| Occupation | Fitter and turner |
| Address | Station Road, Meadowbank, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, H. Pietersen, same address |
| Enlistment date | 17 July 1917 |
| Rank on enlistment | Sapper |
| Unit name | Engineering Field Companies, General Reinforcements |
| AWM Embarkation Roll number | 14/42/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 22 March 1918 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 10th Field Company Engineers |
| Fate | Returned to Australia 4 March 1919 |
