| Regimental number | 4784 |
| Date of birth | |
| Place of birth | St Leonards, South Australia |
| School | Central Public School, Broken Hill, New South Wales |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | McKinnon Parade, North Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs L G Goodman, McKinnon Parade, North Adelaide, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Mongolia on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 32nd Battalion |
| Fate | Returned to Australia |
| Discharge date | |
| Other details |
War service: Western Front Injured in a train accident, Debries, France, 16 December 1917; discharged as medically unfit, July 1918. Medals: British War Medal, Victory Medal |
| Date of death |