| Regimental number | 91 |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Arthur Terrace, Ithaca, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Margurerite Cox, Ithaca, Arthur Terrace, Brisbane, Queensland |
| Enlistment date | 3 October 1914 |
| Rank on enlistment | Private |
| Unit name | 1 Australian General Hospital (November 1914) |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board Transport A55 Kyarra on 21 November 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
