| Regimental number | 59171 |
| Place of birth | O'connell New South Wales |
| Religion | Church of England |
| Occupation | Teacher |
| Address | Eland via Wingham, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, A M Rose, Eland via Wingham, New South Wales |
| Enlistment date | 29 May 1918 |
| Date of enlistment from Nominal Roll | 28 May 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 11 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 22 July 1919 |