
| Regimental number | 12235 |
| Religion | Methodist |
| Occupation | Farm labourer |
| Address | Quambatook, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, John Anderson, Post Office Westmere, Westmere, Victoria |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Field Ambulance 10 |
| AWM Embarkation Roll number | 26/53/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |