| Regimental number | 645 |
| Place of birth | Redditch England |
| Religion | Roman Catholic |
| Occupation | Printer |
| Address | 87 Franklin Street, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs A Cox, 35 Ipsley Street, Redditch, England |
| Enlistment date | 23 October 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 2, Reinforcement 11 |
| AWM Embarkation Roll number | 24/7/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Base Depot Headquarters |
| Fate | Returned to Australia 5 September 1919 |
