| Regimental number | 36611 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Grocer |
| Address | 3 Norfolk Street, Paddington, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Sister, Mrs Stella Cobban, 'Ornham', Rutland Street, Kogarah, Sydney, New South Wales |
| Enlistment date | 16 February 1917 |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade, Reinforcement 29 |
| AWM Embarkation Roll number | 13/128/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 5 November 1917 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 2nd Field Artillery Brigade |
| Fate | Returned to Australia 3 September 1919 |
