| Regimental number | 2619 |
| Place of birth | Glenelg South Australia |
| Religion | Church of England |
| Occupation | Moulder |
| Address | 13 Farleigh Street, Ashfield, New South Wales |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs Grace Evelyn Goodman, 13 Farleigh Street, Ashfield, New South Wales |
| Enlistment date | 13 May 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 14/13/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 August 1916 |
