| Regimental number | 14711 |
| Place of birth | Orange New South Wales |
| Religion | Church of England |
| Occupation | Storekeeper |
| Address | Mount Baupe, Queensland |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Father, C Anderson, Orange, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, August 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Macgillivray on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
