
| Regimental number | 4521 |
| Place of birth | Goldsborough Victoria |
| School | State School, Victoria |
| Religion | Church of England |
| Occupation | Railway employee |
| Address | Maryborough, Victoria |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs Elizabeth Cousins, 126 Bridge Street, Port Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/46/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 46th Battalion |
| Fate | Killed in Action |
| Place of death or wounding | France |
| Age at death | 29 |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |