
| Regimental number | 5797 |
| Religion | Church of England |
| Occupation | Motor driver |
| Address | Victoria Park, Western Australia |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Agnes Anderson, 12 Oswald Street, Victoria Park, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A23 Suffolk on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Died of wounds |
| Age at death from cemetery records | 39 |
| Place of burial | St. Sever Cemetery (Block P, Plot III, Row I, Grave No. 2B), Rouen, France |
| Panel number, Roll of Honour, Australian War Memorial | 112 |
| Miscellaneous information from cemetery records | Parents: Hans and Elizabeth ANDERSEN; husband of Agnes SHAW (formerly ANDERSEN), 34 Teddington Road, Victoria Park, Western Australia. Native of Sydney, New South Wales |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |