| Regimental number | 8730 |
| Place of birth | Southam England |
| Religion | Church of England |
| Occupation | Plumber |
| Address | West Croydon, South Australia |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Nellie Rose Cox, 35 Florence Street, Goodwood, Adelaide, South Australia |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | 3rd Field Company Engineers, Reinforcement 18 |
| AWM Embarkation Roll number | 14/22/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 9th Field Company Engineers |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 219 Date: |