| Regimental number | 4162 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o Mrs Annie Anderson, 144 Eglinton Street, Kew, Melbourne, Victoria |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs Annie Anderson, 144 Eglinton Street, Kew, Melbourne, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Australian Stationary Hospital 1, Reinforcement 7 |
| AWM Embarkation Roll number | 26/70/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A61 Kanowna on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Stationary Hospital |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |