| Regimental number | 4577 |
| Place of birth | Albion Queensland |
| Religion | Baptist |
| Occupation | Tailors cutter |
| Address | Wimona, Newington Road, Marrickville, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, J Rose, Namorla, Newington Road, Marrickville, New South Wales |
| Enlistment date | 1 September 1915 |
| Date of enlistment from Nominal Roll | 14 September 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 15 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 20 June 1919 |