| Regimental number | 8810 |
| Place of birth | Perth, Western Australia |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 202 Pier Street, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, A E Cockram, 202 Pier Street, Perth, Western Australia |
| Enlistment date | 2 November 1915 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Reinforcement 14 |
| AWM Embarkation Roll number | 26/47/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 12 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Field Artillery Brigade |
| Fate | Returned to Australia 19 October 1917 |
