| Regimental number | 3719 |
| Place of birth | Gosford New South Wales |
| Religion | Church of England |
| Occupation | Ironmoulder |
| Address | Cambridge Avenue, Central Bankstown, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs Susan Anderson, 219 Commonwealth Street, Sydney, NSW1 |
| Enlistment date | 29 May 1917 |
| Rank on enlistment | Private |
| Unit name | 53rd Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/70/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A28 Miltiades on 2 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia 10 January 1918 |
