
| Regimental number | 1096 |
| Place of birth | Melbourne, Victoria |
| Religion | Methodist |
| Occupation | Picture frame-maker |
| Address | 35 Edgar Street, East Malvern, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs. F.J. Anderson. Same address. |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | Divisional Signal Company 2, Section 4 |
| AWM Embarkation Roll number | 22/12/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A39 Port Macquarie on |