| Regimental number | 1810 |
| Place of birth | Petersham New South Wales |
| Religion | Church of England |
| Occupation | Engineer |
| Address | 75 Westburn Street, Petersham, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, H Rose, 75 Westburn Street, Petersham, New South Wales |
| Previous military service | 26th Infantry |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Light Trench Mortar Battery, Reinforcement 5 |
| AWM Embarkation Roll number | 13/130/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Trench Mortar Battery |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |