| Regimental number | 712 |
| Place of birth | Rockhampton Queensland |
| Religion | Presbyterian |
| Occupation | Carter |
| Address | 101 North Street, Rockhampton, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, A Cousins, 101 North Street, Rockhampton, Queensland |
| Enlistment date | 15 January 1917 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 3, Reinforcement 13 |
| AWM Embarkation Roll number | 24/8/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on 21 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Imperial Company |
| Fate | Returned to Australia 28 March 1919 |
| Date of death | 22 March 1976 |
| Place of burial | Redcliffe Cemetery |
