| Regimental number | 15104 |
| Religion | Church of England |
| Occupation | Fireman |
| Address | Glen Forest, Western Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, B Pittersen, Glen Forest, Western Australia |
| Enlistment date | 6 October 1915 |
| Date of enlistment from Nominal Roll | 22 October 1915 |
| Rank on enlistment | Private |
| Unit name | Field Artillery Brigade 10, Reinforcement 2 |
| AWM Embarkation Roll number | 13/37/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 4 May 1916 |
| Rank from Nominal Roll | Bombardier |
| Unit from Nominal Roll | 6th Field Artillery Brigade |
| Fate | Returned to Australia 14 January 1919 |
