| Regimental number | 1179 |
| Place of birth | Portland, South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Mead Street, Peterhead, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Anna Dorothy Anderson, Mead Street, Peterhead, South Australia |
| Previous military service | AGA |
| Enlistment date | 25 August 1917 |
| Place of enlistment | Adelaide, South Australia |
| Rank on enlistment | Gunner |
| Unit name | Heavy Artillery Group 36, Reinforcement 15 |
| AWM Embarkation Roll number | 13/49/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 2 February 1918 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 36th Heavy Artillery Brigade |
| Fate | Returned to Australia 24 December 1918 |
