| Regimental number | 4055 |
| Religion | Presbyterian |
| Occupation | Decorator |
| Address | Fitzroy PO, Fitzroy, Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Hilda L Anderson, 117 Separation Street, Northcote, Melbourne, Victoria |
| Enlistment date | 12 July 1915 |
| Date of enlistment from Nominal Roll | 8 July 1915 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Rank from Nominal Roll | Bombardier |
| Unit from Nominal Roll | Australian General Base Depot |
| Fate | Returned to Australia 11 May 1919 |