| Regimental number | 10761 |
| Place of birth | Castlemaine Victoria |
| Religion | Methodist |
| Occupation | Saddler |
| Address | 31 Gladstone avenue, Northcote, Victoria |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs M F Cousens, 26 Stott Street, Northcote, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Staff Sergeant (Saddler) |
| Unit name | 3rd Divisional Train, 22nd Company, Army Service Corps |
| AWM Embarkation Roll number | 25/16/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | 3rd Division Train |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
