| Regimental number | 3622 |
| Place of birth | Adelaide, South Australia |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Largs Bay, South Australia |
| Marital status | Married |
| Age at embarkation | 41 |
| Height | 5' 8" |
| Weight | 139 lbs |
| Next of kin | Wife, Mrs Faith Julia Elizabeth Cockburn, Hannay Street, Largs Bay, South Australia |
| Previous military service | Member for 18 months, Strathalbyn Rifle Club, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 50th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/67/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on |
| Regimental number from Nominal Roll | 3622A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia |
| Discharge date | |
| Other details |
War service: Western Front Commenced return to Australia on board HT 'Medic', 24 August 1918 (cardiac insufficiency); disembarked Melbourne, 11 October 1918, for onward travel by rail to Adelaide; discharged (medically unfit), Adelaide, 25 January 1919. Medals: British War Medal, Victory Medal |