| Regimental number | 3030 |
| Place of birth | Cannington, Western Australia |
| Religion | Church of England |
| Occupation | Orchardist |
| Address | Kelmscott, Western Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs B Cockram, Kelmscott, Western Australia |
| Enlistment date | 24 June 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/28/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A32 Themistocles on 13 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 51st Battalion |
| Fate | Returned to Australia 13 February 1917 |
