| Regimental number | 2278 |
| Place of birth | Williamstown Victoria |
| Religion | Presbyterian |
| Occupation | Shunter |
| Address | 175 Vere Street, Abbotsford, Victoria |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Annie Cox, 311 Coventry Street, South Melbourne, Victoria |
| Enlistment date | 3 May 1916 |
| Rank on enlistment | Private |
| Unit name | 58th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/75/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on 1 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Railway Operating Company |
| Fate | Returned to Australia 26 September 1917 |