| Regimental number | 5116 |
| Place of birth | Carlton Victoria |
| Religion | Church of England |
| Occupation | Hair dresser |
| Address | 13 Flett Street, South Yarra, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Phoebe Jane Cox, 13 Flett Street, South Yarra, Melbourne, Victoria |
| Enlistment date | 20 January 1916 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/39/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A33 Ayrshire on 3 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Division Ammunition Column |
| Fate | Returned to Australia 27 April 1919 |