| Regimental number | 1211 |
| Place of birth | Kadina South Australia |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Marrubul, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs. Annie Petherick, Marrabul, South Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 8th Reinforcement |
| AWM Embarkation Roll number | 10/8/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT Morea on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
