| Regimental number | 1998 |
| Place of birth | Mudgee New South Wales |
| Religion | Church of England |
| Occupation | Politician |
| Address | Mudgee, New South Wales |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs Eurena Alexandrina Southwick, Mudgee, New South Wales |
| Enlistment date | 26 February 1916 |
| Rank on enlistment | Private |
| Unit name | 53rd Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/70/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A37 Barambah on 23 June 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
