| Regimental number | 20721 |
| Place of birth | Burnley England |
| Religion | Roman Catholic |
| Occupation | Coalminer and mechanical engineer |
| Address | Flinders Island, Tasmania |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Brother, J P Sandy, Pakenham, Victoria |
| Enlistment date | 17 February 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A36 Boonah on 22 October 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 22 July 1919 |
