| Regimental number | 633 |
| Place of birth | Maryborough Queensland |
| Religion | Church of England |
| Occupation | Theatrical agent |
| Address | Cordalba, Isis Junction, Queensland |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs Sarah Goodliffe, Cordalba, Isis Junction, Queensland |
| Enlistment date | 3 January 1917 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 11, Reinforcement 10 |
| AWM Embarkation Roll number | 24/16/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on 21 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia 1 November 1917 |
