| Regimental number | 1921 |
| Place of birth | Lake Wangary South Australia |
| Religion | Church of England |
| Occupation | Overseer |
| Address | Tumby Bay, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Lucy Jane Puckridge, Lake Wangary, South Australia |
| Enlistment date | 25 February 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Pioneer Battalion, Reinforcement 2 |
| AWM Embarkation Roll number | 14/17/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A60 Aeneas on 11 April 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 5th Pioneer Battalion |
| Fate | Effective abroad (still overseas) |