| Regimental number | 4213 |
| Place of birth | Melbourne, Victoria |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Fawcett via Alexandra, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, Mr R Jose, Fawcett via Alexandra, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Battalion |
| Fate | Returned to Australia |
| Discharge date | |
| Other details |
War service: Western Front Served 1559 days (1255 days of which were spent abroad) Medals: British War Medal, Victory Medal |
| Date of death | |
| Place of burial | Fawkner Cemetery |