| Regimental number | 2864 |
| Place of birth | Medindie South Australia |
| Religion | Church of England |
| Occupation | Tailor |
| Address | Elm Street, Medindie, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs. Sara Ann Cox, Elm Street, Medindie, South Australia |
| Enlistment date | 1 March 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 20th Reinforcement |
| AWM Embarkation Roll number | 10/8/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Malwa on 27 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia 12 June 1919 |
