| Regimental number | 105 |
| Place of birth | Malven, South Australia |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Brougham Place, North Adelaide |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs. Annie Lucy Anson, Brougham Place, North Adelaide, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, A Squadron |
| AWM Embarkation Roll number | 10/8/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A17 Port Lincoln on |
| Rank from Nominal Roll | 2nd Lieutenant |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Promotions |
2nd Lieutenant Unit: LH3 Promotion date: |
| Fate | Discharged |