| Regimental number | 7454 |
| Place of birth | Fitzroy Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Gormanston, Tasmania |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Sister, Miss M Cousins, 61 Rose Street, Fitzroy, Victoria |
| Enlistment date | 20 March 1917 |
| Rank on enlistment | Sapper |
| Unit name | Tunnelling Companies, March 1917 Reinforcements |
| AWM Embarkation Roll number | 16/15/3 |
| Embarkation details | Unit embarked from Melbourne, Vic, on board HMAT A32 Themistocles on 4 August 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 3rd Tunnelling Company |
| Fate | Returned to Australia 1 July 1919 |
