| Regimental number | 4563 |
| Place of birth | VIC |
| Religion | Methodist |
| Occupation | Carpenter |
| Address | 28 Grandison Street, Moonee Ponds, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Mary Cock, 28 Grandison Street, Moonee Ponds, Melbourne, Victoria |
| Enlistment date | 24 January 1916 |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/41/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Malwa on 21 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Returned to Australia 29 May 1919 |