| Regimental number | 20677 |
| Place of birth | Geelong Victoria |
| Religion | Roman Catholic |
| Occupation | Hairdresser |
| Address | Rockhampton, Queensland |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Maud McCosker, 'Pembroke', Olive Street, Albury, New South Wales |
| Enlistment date | 12 July 1917 |
| Rank on enlistment | Sapper |
| Unit name | October 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Canberra on 16 November 1917 |
| Fate | No details of fate entered on Nominal Roll |
