| Regimental number | 4350 |
| Place of birth | Fremantle Western Australia |
| Religion | Congregational |
| Occupation | Clerk |
| Address | 173 South Street, Fremantle, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, D S Jose, 173 South Street, Fremantle, Western Australia |
| Enlistment date | 30 May 1917 |
| Rank on enlistment | Private |
| Unit name | 2nd Pioneer Battalion, Reinforcement 12 |
| AWM Embarkation Roll number | 14/14/6 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on 30 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 1 June 1919 |
