| Regimental number | 5982 |
| Religion | Methodist |
| Occupation | Carter |
| Address | Cairns, Queensland |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs H Andersen, Marinoa Street, Cairns, Queensland |
| Enlistment date | 29 January 1916 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A50 Itonus on 8 August 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |