| Regimental number | 53441 |
| Place of birth | Mogo New South Wales |
| Religion | Methodist |
| Occupation | Milk carter |
| Address | Willoughby, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, R Annetts, Bermagui, New South Wales |
| Enlistment date | 12 March 1918 |
| Date of enlistment from Nominal Roll | 25 February 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 3 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 8 May 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia 23 July 1919 |
