| Regimental number | 14931 |
| Place of birth | Halls Gap, Victoria |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Evandale, South Australia |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs G B Anderson, 108 Unley Road, Unley, South Australia |
| Enlistment date | 21 February 1916 |
| Date of enlistment from Nominal Roll | 21 January 1916 |
| Rank on enlistment | Private |
| Unit name | September 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A16 Port Melbourne on 23 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Field Ambulance |
| Fate | Returned to Australia 21 June 1919 |
