| Regimental number | 5863 |
| Place of birth | Trentham Victoria |
| Religion | Roman Catholic |
| Occupation | Fireman |
| Address | c/o Loco Sheds, Midland Junction, Western Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Sister, Miss Mary Jane Goodisson, c/o N Taylor, Upper Macedon, Victoria |
| Enlistment date | 4 April 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A23 Suffolk on 13 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 25 August 1917 |
