| Regimental number | 1752 |
| Religion | Church of England |
| Occupation | Packer |
| Address | Newmarket, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs S Goodfellow, Wilston Road, Newmarket, Queensland |
| Enlistment date | 16 August 1915 |
| Rank on enlistment | Private |
| Unit name | 1 Australian General Hospital 1-6 Special Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 11 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Casualty Clearing Station |
| Fate | Returned to Australia 12 May 1919 |
