| Regimental number | 6723 |
| Place of birth | Kindred Tasmania |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Ulverstone, Tasmania |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs H Cox, Kindred, Tasmania |
| Enlistment date | 4 August 1916 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A56 Palermo on 30 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 25 January 1919 |
