| Regimental number | 21004 |
| Place of birth | Mudgee New South Wales |
| Religion | Church of England |
| Occupation | Grazier |
| Address | McMahon's Point, New South Wales |
| Marital status | Married |
| Age at embarkation | 45 |
| Next of kin | Wife, Mrs B Cox, Roma Flats, McMahon's Point, New South Wales |
| Enlistment date | 20 April 1918 |
| Rank on enlistment | Private |
| Unit name | Sea Transport Staff Sections 7-8 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 2 November 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
