| Regimental number | 164 |
| Place of birth | Narrabri New South Wales |
| Religion | Church of England |
| Occupation | Motor driver |
| Address | Marburg PO, Marburg, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Jane Cosgrove, Marburg PO, Marburg, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian Flying Corps, No 1 Squadron, A Flight |
| AWM Embarkation Roll number | 8/4/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
