| Regimental number | 1865 |
| Place of birth | Tilba New South Wales |
| Religion | Church of England |
| Occupation | Fitter and turner |
| Address | Comeston Avenue, Concord, New South Wales |
| Marital status | Single |
| Age at embarkation | 17 |
| Next of kin | Father, W Southam Comeston Avenue, Concord, Sydney, New South Wales |
| Enlistment date | 19 December 1914 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/18/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 10 April 1915 |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Discharged 2 December 1919 |