| Regimental number | 54853 |
| Place of birth | Ballarat, Victoria |
| Religion | Church of England |
| Occupation | Horseman |
| Address | Spencer Street, Sebastopol, Victoria |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs E Anderson, corner of Lyon and Skipton Streets, Ballarat South, Victoria |
| Enlistment date | 4 April 1918 |
| Rank on enlistment | Private |
| Unit name | 4th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 5 June 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |