| Regimental number | 4051 |
| Place of birth | Birmingham England |
| Religion | Congregational |
| Occupation | Coachbuilder |
| Address | Commonwealth Bank, Hobart, Tasmania |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs E Goddard, 92 Crabtree Road, Birmingham, England |
| Enlistment date | 3 July 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT RMS Orontes on 24 November 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
