| Regimental number | 6775A |
| Place of birth | Bathurst New South Wales |
| Religion | Church of England |
| Occupation | Student |
| Address | East St Kilda, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Alfred Cox, Broodway Street, Wooloongabba, South Brisbane, Queensland |
| Enlistment date | 13 July 1917 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/38/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
