| Regimental number | 5077 |
| Place of birth | Cranbrook Western Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Cranbrook, Western Australia |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs A Cox, Cranbrook, Western Australia |
| Enlistment date | 15 January 1916 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A9 Shropshire on 31 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Light Horse Regiment |
| Fate | Returned to Australia 24 July 1919 |
