| Religion | Church of England |
| Occupation | Clerk |
| Address | Hughes Street, Woodville, South Australia |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs Sarah Goodett Bath, Hughes Street, Woodville, South Australia |
| Enlistment date | |
| Rank on enlistment | Lieutenant |
| Unit name | Divisional Signal Company 3, Section 3 |
| AWM Embarkation Roll number | 22/13/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |
| Miscellaneous details (Nominal Roll) | see other |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
