| Regimental number | ... |
| Place of birth | Dubbo New South Wales |
| Religion | Church of England |
| Occupation | Commercial traveller |
| Address | Briellet Street, Annandale, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs M J Goldrick, Briellet Street, Annandale, New South Wales |
| Enlistment date | |
| Rank on enlistment | 2nd Lieutenant |
| Unit name | 18th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | 55th Battalion |
| Recommendations (Medals and Awards) |
Mention in Despatches Awarded, and promulgated, 'London Gazette' No. 30706 (28 May 1918); 'Commonwealth Gazette' No. 165 (24 October 1918). Military Cross Recommendation date: |
| Fate | Returned to Australia |