| Regimental number | 1785 |
| Place of birth | Derbyshire England |
| Religion | Church of England |
| Occupation | Coal miner |
| Address | Giorahween via Young, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Annie Pettifer, 16 Hollingwood Common, Barrow Hill near Chesterfield, Derbyshire, England |
| Enlistment date | 22 April 1916 |
| Date of enlistment from Nominal Roll | 7 April 1916 |
| Rank on enlistment | Private |
| Unit name | 35th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/52/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 4 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
| Fate | Returned to Australia 12 March 1918 |
