| Regimental number | 19256 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Mechanical dentist |
| Address | Randwick, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, G H Southwick, Willison Road, Carlton, New South Wales |
| Enlistment date | 6 May 1916 |
| 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 A73 Commonwealth on 2 November 1917 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | Dental Details |
| Fate | Returned to Australia 10 July 1919 |
