| Regimental number | 1957 |
| Place of birth | Bartonstacey England |
| Religion | Congregational |
| Occupation | Baker |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | H Gomer, Barringwell Street, Bishop, Waltham, Hampshire, England |
| Enlistment date | 28 December 1914 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 13 April 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 21 March 1919 |