| Regimental number | 375 |
| Religion | Church of England |
| Occupation | Wheeler |
| Address | c/o Miss Martha Anderson, Victoria Street, Windsor, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Sister, Miss Martha Anderson, Victoria Street, Windsor, Victoria |
| Enlistment date | 29 February 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, B Company |
| AWM Embarkation Roll number | 23/53/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 13 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |