| Regimental number | 13562 |
| Place of birth | Launceston Tasmania |
| Religion | Church of England |
| Occupation | Horse driver |
| Address | Launceston, Tasmania |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs N Good, 35 Howick Street, Launceston, Tasmania |
| Enlistment date | 6 October 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A61 Kanowna on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Field Ambulance |
| Fate | nig No details enetered on Nominal |
