| Regimental number | 1590 |
| Place of birth | Guildford Western Australia |
| Religion | Methodist |
| Occupation | Salesman |
| Address | Northcote, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, H Cornish, 77 Christmas Street, Northcote, Victoria |
| Previous military service | AGA |
| Enlistment date | 13 October 1916 |
| Rank on enlistment | Gunner |
| Unit name | Heavy Artillery Group 36, Reinforcement 21 |
| AWM Embarkation Roll number | 13/49/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema on 23 November 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |