| Regimental number | 4861 |
| Religion | Church of England |
| Occupation | Shearer |
| Address | Claremont, Western Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, C Anderson, 250 Forest Street, East Fremantle, Western Australia |
| Enlistment date | 15 November 1915 |
| Rank on enlistment | Sapper |
| Unit name | |
| AWM Embarkation Roll number | 16/13/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 22 May 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 7th Field Company Engineers |
| Fate | Returned to Australia 2 March 1919 |
