| Regimental number | 19072 |
| Religion | Church of England |
| Occupation | Storeman |
| Address | Paddington, New South Wales |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs A M Andersen, 96 Windsor Street, Paddington, New South Wales |
| Enlistment date | 7 August 1917 |
| Date of enlistment from Nominal Roll | 8 August 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Carpentaria on 7 November 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Trench Mortar Battery |
| Fate | Returned to Australia 10 July 1919 |
