| Regimental number | 20128 |
| Place of birth | Glen Innes New South Wales |
| Religion | Roman Catholic |
| Occupation | Grocer |
| Address | Leichhardt, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs A M Goodwin, 77 Carlisle Street, Leichhardt, New South Wales |
| Enlistment date | 26 September 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Darwin on 30 April 1918 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Carpentaria on 7 November 1918 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A36 Boonah on 29 October 1918 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A41 Bakara on 4 September 1918 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Darwin on 14 September 1918 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board SS Gaika on 6 August 1918 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A36 Boonah on 22 October 1918 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 10 June 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
