| Regimental number | 3074 |
| Place of birth | Bromley England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Bridgetown, Western Australia |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Father, James Cousins, Totnes Road, Tidal Basin, London, England |
| Enlistment date | 2 September 1915 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/45/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A7 Medic on 18 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 12 November 1916 |
| Date of death | 22 January 1953 |
| Place of burial | Karrakatta Cemetery |
