| Regimental number | 3397 |
| Place of birth | Perth Western Australia |
| Religion | Presbyterian |
| Occupation | Clerk |
| Address | 11 Lindsay Street, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, W C Rose, Dairyhurst, East Goldfields, Western Australia |
| Enlistment date | 2 August 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A24 Benalla on 1 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Division Ammunition Column |
| Fate | Returned to Australia 24 June 1916 |
