| Regimental number | 2480 |
| Religion | Presbyterian |
| Occupation | Miner |
| Address | Amanda Street, Jean Park, Port Pirie, Western Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs K Petty, Amanda Street, Jean Park, Post Pirie West, South Australia |
| Enlistment date | 4 June 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/21/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 14 July 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
