| Regimental number | 3864 |
| Place of birth | Mid Junction Western Australia |
| Religion | Church of England |
| Occupation | Railway employee |
| Address | Newcastle Road, Midland Junction, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, J Ross, Newcastle Road, Midland Junction, Western Australia |
| Enlistment date | 1 September 1915 |
| Date of enlistment from Nominal Roll | 24 August 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A31 Ajana on 17 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 12 April 1919 |
