| Regimental number | 4905 |
| Place of birth | Launceston Tasmania |
| Religion | Church of England |
| Occupation | Orchardist |
| Address | c/o Mrs Duport, Victoria Street, Richmond, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs C Anderson, The Glen, Lefroy, Tasmania |
| Enlistment date | 16 November 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 18 February 1916 |
| Rank from Nominal Roll | 2nd Corporal |
| Unit from Nominal Roll | Anzac Provost Corps |
| Fate | Effective abroad (still overseas) |
