| Regimental number | 1906 |
| Religion | Church of England |
| Occupation | Painter |
| Address | Coffee Palace, William Street, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs Annie Anderson, Halifax, Queensland |
| Enlistment date | 16 January 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/18/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 25 June 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
