
| Regimental number | 4973 |
| Place of birth | Sydney, New South Wales |
| Religion | Presbyterian |
| Occupation | Railway employee |
| Address | Gower Street, Hurlstone Park, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, A E Anderson, Gower Street, Hurlstone Park, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Australian General Hospital |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Australian General Hospital |
| Fate | Returned to Australia |