| Regimental number | 5033 |
| Place of birth | Heathcote Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 97 Market Street, Fremantle, Western Australia |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs J C Cox, 76 Padbury Street, Perth, Western Australia |
| Enlistment date | 28 December 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A9 Shropshire on 31 March 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 1 February 1918 |