| Regimental number | 28958 |
| Place of birth | Goulburn New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Bimbi, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, J Anderson, Bimbi, New South Wales |
| Enlistment date | 16 May 1916 |
| Rank on enlistment | Gunner |
| Unit name | Medium Trench Mortar Battery Reinforcement 3 |
| AWM Embarkation Roll number | 13/129/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 October 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | Heavy Trench Mortar Battery |
| Fate | Returned to Australia 8 January 1919 |
