| Regimental number | 19064 |
| Place of birth | Sydney New South Wales |
| Religion | Methodist |
| Occupation | Butter vendor |
| Address | Bexley, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs F Goode, 'Haroldene', Gladstone Street, Bexley, New South Wales |
| Enlistment date | 2 May 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Darwin on 30 April 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Field Ambulance |
| Fate | Returned to Australia 13 March 1919 |
