| Regimental number | 4123 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Farm labourer |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Annie Frances Goodwin, 23 Goldsmith Road, Peckham, London, SE, England |
| Enlistment date | 16 September 1915 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/42/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT Commonwealth on 28 March 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 1st Australian Auxiliary Hospital |
| Fate | Returned to Australia 3 March 1919 |
