| Regimental number | 2658 |
| Place of birth | Stanthorpe Queensland |
| Religion | Church of England |
| Occupation | Miner |
| Address | Emmaville, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Grace Anderson, c/o Mrs B Ashendon, Emmaville, New South Wales |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A22 Rangatira on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | Divisional Ammunition Column |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
