| Regimental number | 6213 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 35 Glass Street, Burnley, Victoria |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs E R Anderson, 35 Glass Street, Burnley, Victoria |
| Enlistment date | 5 February 1916 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A15 Port Sydney on 7 September 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |