| Regimental number | 9115 |
| Place of birth | South Melbourne Victoria |
| Religion | Methodist |
| Occupation | Dental mechanic |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, Robert S Southgate, 144 Dank Street, Albert Park, Victoria |
| Enlistment date | 16 July 1915 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Dental Details |
| AWM Embarkation Roll number | 26/105/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A39 Port Macquarie on 16 November 1915 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 31 January 1919 |
