| Regimental number | 5047 |
| Place of birth | West Melbourne Victoria |
| Religion | Church of England |
| Occupation | Driver |
| Address | 108 Roseberry Street, Ascot Vale, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Grandparent, Mrs Agnes Anderson, 108 Roseberry Street, Ascot Vale, Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/39/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A33 Ayrshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
