| Regimental number | 4093 |
| Place of birth | Amphthill England |
| Religion | Church of England |
| Occupation | Motor apprentice |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs E Goodall, 57 Silsoe, Ampthill, England |
| Enlistment date | 21 April 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Field Ambulance, Reinforcement 7 |
| AWM Embarkation Roll number | 26/44/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 14 July 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Field Ambulance |
| Fate | Returned to Australia 24 June 1916 |
