| Regimental number | 55016 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Bootmaker |
| Address | 'Kia-Ora', Spencer Street, Croxton, Victoria |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs C S M Anderson, 'Kia-Ora', Spencer Street, Croxton, Victoria |
| Previous military service | 54th Infantry |
| Enlistment date | 20 July 1917 |
| Rank on enlistment | Private |
| Unit name | 4th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 5 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 59th Battalion |
| Fate | Returned to Australia 22 July 1919 |
