| Regimental number | 2163 |
| Place of birth | Lees England |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | Gnowangerup PO, Gnowangerup, Western Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, William Cousins, Crowness Cottage, Lee, Devon, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/29/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
