| Regimental number | 5296 |
| Place of birth | Fredrickstown Norway |
| Religion | Church of England |
| Occupation | Mechanical engineer |
| Address | Gardiners Road, Mascot, New South Wales |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Mary Anderson, Gardiners Road, Mascot, New South Wales |
| Enlistment date | 13 September 1915 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/37/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 22 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 12 May 1918 |