| Regimental number | 6202 |
| Place of birth | Goulburn New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Wilton Street, Surry Hills, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Angela Goodwin, 10 Pint Street, Redfern, New South Wales |
| Enlistment date | 26 May 1916 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/36/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Effective abroad (still overseas) |