| Regimental number | 4303 |
| Place of birth | Gerringong New South Wales |
| Religion | Presbyterian |
| Occupation | Salesman |
| Address | P O Berry, Berry, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Barbara Cockerill, P O Berry, Berry, New South Wales |
| Enlistment date | 11 March 1915 |
| Rank on enlistment | Private |
| Unit name | Infantry Brigade 4, Field Ambulance 5, Reinforcement 3 |
| AWM Embarkation Roll number | 26/48/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 9 August 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
