| Regimental number | +1711 |
| Religion | Church of England |
| Occupation | Clerk |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Uncle, Captain Captain Goodsall, Chiltern, Tankerton-on-Sea, England |
| Enlistment date | 12 July 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Field Ambulance, 10th Reinforcement |
| AWM Embarkation Roll number | 26/46/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A69 Wandilla on 5 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian General Hospital |
| Fate | Returned to Australia 8 April 1918 |
