| Regimental number | 4295 |
| Place of birth | Cobargo New South Wales |
| Religion | Church of England |
| Occupation | Postman |
| Address | Quaama, via Bega, South Coast, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, Charles Southan, Quaama, via Bega, South Coast, New South Wales |
| Enlistment date | 2 June 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 21 March 1919 |