| Regimental number | 4759 |
| Place of birth | Cape Town South Africa |
| Occupation | Labourer |
| Address | Hotel Victoria, Marrickville, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Father, T Pietersen, Capetown, South Africa |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Effective abroad (still overseas) |
| Date of death | |
| Place of burial | Field of Mars Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
