| Regimental number | 5617 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 2 Murphy Street, Port Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, R Anderson, 2 Murphy Street, Port Melbourne, Victoria |
| Enlistment date | 15 March 1916 |
| Date of enlistment from Nominal Roll | 15 March 1916 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A33 Ayrshire on 3 July 1916 |
| Regimental number from Nominal Roll | 5647 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian General Hospital |
| Fate | Returned to Australia 21 December 1917 |