| Regimental number | 4250 |
| Place of birth | Rockford England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Burrawong Station, Forbes, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Uncle, Mr W H Cogzell, Eurumbla Station, Rosedale, North Coast, New South Wales |
| Enlistment date | 24 August 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A6 Aeneas on 20 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 13 April 1919 |