
| Regimental number | 8669 |
| Place of birth | Guildford Victoria |
| Religion | Church of England |
| Occupation | Butcher |
| Address | 37 High Street, Prahran, Victoria |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Mother, Mrs Annie Cox, 37 High Street, Prahran, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Depot Unit Of Supply 5 |
| AWM Embarkation Roll number | 25/107/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Depot Unit of Supply |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in New South Wales Garden of Remembrance |
| Date of death |