| Regimental number | 21155 |
| Place of birth | Stonemarket England |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Cairns, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, T Southgate, Coombs, Stoormarket, Suffolk, England |
| Enlistment date | 18 December 1915 |
| Rank on enlistment | Driver |
| Unit name | 9th Field Artillery Brigade, 35th Battery |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board H.M.A.T. A8 Argyllshire on 11 May 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 7th Field Artillery Brigade |
| Fate | Discharged 25 March 1919 |
