| Regimental number | 1352 |
| Place of birth | Laura, South Australia |
| Religion | Protestant |
| Occupation | Labourer |
| Address | Eighth Street, Port Pirie West, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mrs Maud Anderson, Eighth Street, Port Pirie West, South Australia |
| Enlistment date | 30 November 1914 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/29/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A50 Itonus on 15 February 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 7 November 1915 |