| Regimental number | 8369 |
| Place of birth | Orange New South Wales |
| Religion | Church of England |
| Occupation | Fat stock salesman |
| Address | c/o C P Selling Co, Beat Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs L Cosgrove, 234 Devonshire Street, Surry Hills, New South Wales |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Army Service Corps 20, Headquarters |
| AWM Embarkation Roll number | 25/106/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A66 Uganda on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 14th Company, Australian Army Service Corps |
| Promotions |
2nd Lieutenant Unit: 4 Div Train Promotion date: Lieutenant Unit: 4 Div Train Promotion date: |
| Fate | Returned to Australia |