| Regimental number | 13128 |
| Place of birth | Ballarat, Victoria |
| Religion | Presbyterian |
| Occupation | Pharmacist |
| Address | Ballarat East, Victoria |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs A Anderson, Ballarat East, Victoria |
| Enlistment date | 21 March 1916 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Staff Sergeant Dispensers |
| AWM Embarkation Roll number | 26/108/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Malwa on 21 March 1916 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 26 December 1916 |