| Regimental number | 4010 |
| Place of birth | Perth Western Australia |
| Religion | Church of England |
| Occupation | Platelayer |
| Address | Devon Road, Osborne, Western Australia |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs A Cox, 292 Hay Street, Subiaco, Western Australia |
| Enlistment date | 2 April 1917 |
| Rank on enlistment | Private |
| Unit name | 51st Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/68/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on 30 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 51st Battalion |
| Fate | Returned to Australia 12 July 1919 |
