| Regimental number | 19875 |
| Place of birth | Sydney New South Wales |
| Religion | Protestant |
| Occupation | Stationmaster |
| Address | Dulwich Hill, New South Wales |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs M L Cox, 'Gladstone Hall', Ewit Street, Dulwich Hill, New South Wales |
| Enlistment date | 27 March 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Darwin on 30 April 1918 |
| Miscellaneous details (Nominal Roll) | see other |