| Regimental number | 5 |
| Place of birth | Richmond Victoria |
| Religion | Church of England |
| Occupation | Plasterer |
| Address | 53 Walker Street, Clifton Hill, Victoria |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs Ethel Cossins, 53 Walker Street, Clifton Hill, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Brigade 6, Headquarters |
| AWM Embarkation Roll number | 23/6/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
