| Regimental number | 2121 |
| Place of birth | Bundaberg Queensland |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Laurelvale, Miriam Vale, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Elizabeth Anderson, Laurelvale, Miriam Vale, Queensland |
| Enlistment date | 28 March 1916 |
| Rank on enlistment | Private |
| Unit name | 52nd Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/69/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A42 Boorara on 16 August 1916 |
| Regimental number from Nominal Roll | 2121A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia 19 June 1919 |
