| Regimental number | 6789 |
| Place of birth | Thursday Island Queensland |
| Religion | Church of England |
| Occupation | Driver |
| Address | 234 Jersey Road, Paddington, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Cousin, Mr A Anderson, Woodside, Smithfield, New South Wales |
| Enlistment date | 14 July 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Returned to Australia 24 June 1919 |
