| Regimental number | 63330 |
| Place of birth | Sheffield Tasmania |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Kimberley, Tasmania |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, W Rose, Kimberley, Tasmania |
| Previous military service | 91st Infantry |
| Enlistment date | 1 August 1918 |
| Date of enlistment from Nominal Roll | 6 July 1918 |
| Rank on enlistment | Private |
| Unit name | Tasmanian Reinforcement 3 |
| AWM Embarkation Roll number | 23/111/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Zealandic on 5 October 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Broad Guage Railway Operating Company |
| Fate | Returned to Australia 22 July 1919 |