| Regimental number | 6705 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Wire worker |
| Address | 85 Wells Street, Newtown, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, A Anderson, 85 Wells Street, Newtown, New South Wales |
| Enlistment date | 30 August 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Casualty Clearing Station |
| Fate | Returned to Australia 14 January 1919 |
