| Date of birth | |
| Religion | Church of England |
| Occupation | Soldier |
| Address | Launceston, Tasmania |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs C Andrew, Vandyck Studios, Launceston, Tasmania |
| Enlistment date | |
| Rank on enlistment | Lieutenant |
| Unit name | 12th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A69 Warilda on |
| Rank from Nominal Roll | Major |
| Unit from Nominal Roll | 12th Battalion |
| Promotions |
Captain Unit: Staff 3rd Infantry Brigade Promotion date: |
| Fate | Returned to Australia |