| Regimental number | 12323 |
| Place of birth | Adelaide South Australia |
| Religion | Roman Catholic |
| Occupation | Baker |
| Address | Marsden Street, Parramatta, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs E J Cosgrove, 174 Botany Road, Alexandria, New South Wales |
| Enlistment date | 4 March 1916 |
| Rank on enlistment | Private |
| Unit name | Army Service Corps Reinforcement 19 |
| AWM Embarkation Roll number | 25/105/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 12 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Field Bakery |
| Fate | Returned to Australia 20 November 1918 |