| Regimental number | 13614 |
| Place of birth | Arlington England |
| Religion | Baptist |
| Occupation | Farm labourer |
| Address | Ravensthorpe, via Clifton, Queensland |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs H Gosden, Ravensthorpe, via Clifton, Queensland |
| Enlistment date | 4 September 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on 29 March 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
