| Regimental number | 4012 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Insurance agent |
| Address | Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs. Rose Anderson, 33 Marlborough Street, Sydney, New South Wales |
| Enlistment date | 20 July 1916 |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/48/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A36 Boonah on 21 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 31st Battalion |
| Fate | Effective abroad (still overseas) |
