| Regimental number | 10 |
| Place of birth | Bellingen New South Wales |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, J B Rose, Bellingen, New South Wales |
| Enlistment date | 4 December 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Machine Gun Squadron, March 1917 Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on 10 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Machine Gun Squadron |
| Fate | Returned to Australia 15 November 1918 |
