| Regimental number | 16887 |
| Place of birth | Newcastle New South Wales |
| Religion | Congregational |
| Occupation | Sanitary inspector |
| Address | Waverley, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs Lillian May Anderson, 115 Denison Street, Waverley, New South Wales |
| Enlistment date | 5 July 1916 |
| Rank on enlistment | Private |
| Unit name | Australian Camel Field Ambulance |
| AWM Embarkation Roll number | 26/60/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on 10 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Sanitation Section |
| Fate | Returned to Australia 4 March 1919 |