| Regimental number | 487 |
| Place of birth | Acton England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Coteleigh, Mamhead, Somerset, England |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Brother, C Rose, Coteleigh, Mamhead, Somerset, England |
| Enlistment date | 6 January 1915 |
| Date of enlistment from Nominal Roll | 18 January 1915 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, B Company |
| AWM Embarkation Roll number | 23/38/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 10 May 1915 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 2nd Division Salvage Company |
| Fate | Returned to Australia 21 March 1919 |