
| Place of birth | Leeds, England |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 67 Cheetham Street, Kalgoorlie, Western Australia |
| Marital status | Married |
| Age at embarkation | 21 |
| Next of kin | Wife, Mrs Lillian Keziah Cox, 67 Cheetham Street, Kalgoorlie, Western Australia |
| Enlistment date | |
| Place of enlistment | Kalgoorlie, Western Australia |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps - Hospital Transports (Number 1 Hospital Ship A61, "Kanowna") |
| AWM Embarkation Roll number | 26/104/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A61 Kanowna on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |