| Regimental number | 5310 |
| Religion | Church of England |
| Occupation | Varnish maker |
| Address | 5 Lyon Road, Browns Hill, South Kensington, Victoria |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs Doris Anderson, 5 Lyon Road, Browns Hill, South Kensington, Victoria |
| Enlistment date | 4 March 1916 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/39/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 July 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
