| Regimental number | 669 |
| Place of birth | Channel Islands |
| Religion | Roman Catholic |
| Occupation | Hairdresser |
| Address | Crystal Street, Broken Hill, New South Wales |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs C E Petiquin, Elizabeth Street, Glanville, South Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, C Company |
| AWM Embarkation Roll number | 23/44/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A2 Geelong on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |
| Date of death | |
| Age at death | 51 |
| Place of burial | West Terrace Cemetery, Adelaide, South Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
