| Regimental number | 862 |
| Place of birth | Bathurst New South Wales |
| Religion | Church of England |
| Occupation | Boundary rider |
| Address | Narrabri, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, J Rose, Narrabri, New South Wales |
| Enlistment date | 12 November 1915 |
| Rank on enlistment | Private |
| Unit name | 33rd Battalion, C Company |
| AWM Embarkation Roll number | 23/50/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 4 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 11 May 1919 |
