| Regimental number | 2362 |
| Place of birth | Broken Hill New South Wales |
| Religion | Methodist |
| Occupation | Fitter |
| Address | Norwood, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Florence Goss, Gladstone Hotel, Gladstone, South Australia |
| Enlistment date | 10 April 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Pioneer Battalion, Reinforcement 4 |
| AWM Embarkation Roll number | 14/17/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A55 Itria on 14 August 1916 |
| Regimental number from Nominal Roll | 2362A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Pioneer Battalion |
| Fate | Returned to Australia 10 June 1919 |
