| Regimental number | 6171 |
| Place of birth | Enfield England |
| Religion | Roman Catholic |
| Occupation | Painter |
| Address | 3 Jersey Street, Turramurra, New South Wales |
| Marital status | Widower |
| Age at embarkation | 38 |
| Next of kin | Father, Richard Rose, 91 Crown Street, Peterborough, England |
| Enlistment date | 19 May 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/38/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A19 Afric on 3 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 30 January 1918 |