| Regimental number | 5624 |
| Place of birth | Camberwell Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs May Loraine Foris Rodman, c/o Mrs Whale, South Maitland, New South Wales |
| Enlistment date | 6 March 1916 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/36/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 9 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 5 April 1919 |
