| Regimental number | 15805 |
| Place of birth | Glamorgan Wales |
| Religion | Church of England |
| Occupation | Steward |
| Address | Auburn, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs A Gough, 25 Hall Street, Auburn, New South Wales |
| Enlistment date | 6 December 1915 |
| Rank on enlistment | Private |
| Unit name | October 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian Divisional Hospital |
| Fate | Returned to Australia 28 August 1919 |