| Regimental number | 58920 |
| Place of birth | Bodalla New South Wales |
| Religion | Church of England |
| Occupation | Teamster |
| Address | North Narooma, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs E Costin, North Narooma, New South Wales |
| Enlistment date | 17 May 1918 |
| Date of enlistment from Nominal Roll | 18 October 1916 |
| Rank on enlistment | Private |
| Unit name | 10th General Service (NSW) Reinforcements |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 25 September 1919 |
