| Regimental number | 6064 |
| Place of birth | Mulyan Creek New South Wales |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Gilgandra, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Ellen Cox, Gilgandra, New South Wales |
| Enlistment date | 26 September 1916 |
| Date of enlistment from Nominal Roll | 10 October 1916 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/39/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 31 October 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia 8 September 1919 |