| Regimental number | 6757 |
| Place of birth | Toowoomba Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs S Goodwin, Taylor Street, Newtown Toowoomba, Queensland |
| Enlistment date | 25 July 1916 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A74 Marathon on 27 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Employment Company |
| Fate | Returned to Australia 7 February 1919 |
