| Regimental number | 4029 |
| Place of birth | Birkenhead England |
| Religion | Church of England |
| Occupation | Railway employee |
| Address | Lockyers Avenue, West Northam, Western Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs M Anderson, Lockyers Avenue, West Northam, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A31 Ajana on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Egypt, Western Front Medals: British War Medal, Victory Medal |