| Regimental number | 1664 |
| Religion | Methodist |
| Occupation | Surveyor's assistant |
| Address | c/o R W Southerden, Park Hill, Nundah, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, R W Southerden, Park Hill, Nundah, Brisbane, Queensland |
| Enlistment date | 15 June 1915 |
| Rank on enlistment | Private |
| Unit name | AMC Convalescent Depot |
| AWM Embarkation Roll number | 26/84/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 14 July 1915 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A67 Orsova on 22 July 1915 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | 19th Dental Unit |
| Fate | Returned to Australia 24 December 1918 |
| Miscellaneous details (Nominal Roll) | *Second entry both matched |