| Regimental number | 5121 |
| Place of birth | Arrano Western Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 541 George Street, North Fitzroy, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, W Hossack, 541 George Street, North Fitzroy, Victoria |
| Enlistment date | 10 January 1916 |
| Date of enlistment from Nominal Roll | 24 January 1916 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A68 Anchises on 14 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 46th Battalion |
| Fate | Returned to Australia 6 November 1918 |