| Regimental number | 66193 |
| Place of birth | Newfield England |
| Religion | Church of England |
| Occupation | Miner |
| Address | West Wallsend, New South Wales |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs E Cockburn, Dallas House, Rocky Point Road, Arncliffe, New South Wales |
| Enlistment date | 17 June 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 20 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Zealandic on 5 October 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Returned to Australia 22 July 1919 |