| Regimental number | 6722 |
| Place of birth | Eucha Victoria |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Oakley, Ganmain, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, H Cox, Oakley, Ganmain, New South Wales |
| Enlistment date | 14 June 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Nicholson on 8 November 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
