
| Regimental number | 4402 |
| Place of birth | Raymond Terrace New South Wales |
| Religion | Church of England |
| Occupation | Spring maker |
| Address | Campbell Hill, Maryland, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Sister, Mrs Susan Anderson, Campbell Hill, Maryland, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/49/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Malwa on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Corps School |
| Recommendations (Medals and Awards) |
Military Medal Work near Broodseinde on 9 October 1917. Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 76 Date: |