| Regimental number | 17 |
| Place of birth | Paddington New South Wales |
| Religion | Roman Catholic |
| Occupation | Fitter's assistant |
| Address | 'St Elmo' Wellbank Street, Concord West, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs W Cosgrove, 'St Elmo' Wellbank Street, Concord West, New South Wales |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | 30th Battalion, Machine Gun Section |
| AWM Embarkation Roll number | 23/47/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 5th Machine Gun Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
