| Regimental number | 804 |
| Place of birth | Adelaide, South Australia |
| Religion | Methodist |
| Occupation | Groom |
| Address | Mt Barker, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Harriett Anderson, Mt. Barker, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 43rd Battalion, Headquarters |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 43rd Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
