| Regimental number | 4906 |
| Place of birth | Hobart, Tasmania |
| Religion | Church of England |
| Occupation | Gardener |
| Address | Hobart, Tasmania |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs E Anderson, Cross Street, Newtown, Hobart, Tasmania |
| Enlistment date | 31 May 1915 |
| Rank on enlistment | Private |
| Unit name | No 1 Australian General Hospital |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board A62 Wandilla on 25 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Field Ambulance |
| Fate | Returned to Australia 18 October 1917 |
