| Regimental number | 676 |
| Religion | Church of England |
| Occupation | Railway guard |
| Address | Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs L A Cox, 105 Samuel Street, St Peters, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Machine Gun Company, 12th Reinforcement |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Machine Gun Battalion |
| Fate | Returned to Australia |