| Regimental number | 30292 |
| Religion | Church of England |
| Occupation | Butcher |
| Address | North Narooma, South Coast, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, E Costin, North Narooma, South Coast, New South Wales |
| Enlistment date | 6 September 1916 |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column 5, Reinforcement 8 |
| AWM Embarkation Roll number | 25/93/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 9 November 1916 |
| Rank from Nominal Roll | Bombardier |
| Unit from Nominal Roll | 1st Divisional Ammunition Column |
| Fate | Returned to Australia 4 June 1919 |
