| Regimental number | 3736 |
| Place of birth | Broken Hill New South Wales |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | Milparinka, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, G Cox, Milparinka, New South Wales |
| Enlistment date | 14 August 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 30 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 10 September 1917 |
