| Regimental number | 1903 |
| Place of birth | London, England |
| Religion | Church of England |
| Occupation | Motor mechanic |
| Address | 67 Renwick Street, Marrickville, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs C L Anscombe, 67 Renwick Street, Marrickville, Sydney, New South Wales |
| Enlistment date | 16 January 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/30/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 13 April 1915 |
| Rank from Nominal Roll | Warrant Officer (Class II) |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 15 August 1915 |
