| Regimental number | 1827 |
| Place of birth | Nowgong India |
| Religion | Methodist |
| Occupation | Labourer |
| Address | c/o Seaman's Institute, George Street, North Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs A Anderson, Little St Mary's, Long Melford, Suffolk, England |
| Enlistment date | 12 October 1916 |
| Rank on enlistment | Private |
| Unit name | Light Trench Mortar Battery, Reinforcement 5 |
| AWM Embarkation Roll number | 13/130/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 2 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 21 December 1917 |