| Regimental number | 17000 |
| Place of birth | Maclean New South Wales |
| Religion | Methodist |
| Occupation | Student |
| Address | Lismore, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, C Goddard, Maclean, Clarence River, New South Wales |
| Previous military service | 12th Infantry |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps February 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian General Hospital |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
