| Regimental number | 25654 |
| Place of birth | Wollongong New South Wales |
| Religion | Methodist |
| Occupation | Miner |
| Address | Mt Keira, Wollongong, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs S I Anderson, Mt Keira, Wollongong, New South Wales |
| Previous military service | 3rd AGA |
| Enlistment date | 24 January 1916 |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 5, Reinforcement 4 |
| AWM Embarkation Roll number | 25/112/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 29 July 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 5th Field Artillery Brigade |
| Fate | Returned to Australia 13 March 1918 |