| Regimental number | 3774 |
| Place of birth | Hay New South Wales |
| Religion | Church of England |
| Occupation | Stoker |
| Address | Hay, New South Wales |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs M J Cox, Hay, New South Wales |
| Enlistment date | 28 May 1917 |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 35th Reinforcement |
| AWM Embarkation Roll number | 10/12/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Ormonde on 2 March 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
