| Regimental number | 1022 |
| Place of birth | Blaneavon England |
| Religion | Church of England |
| Occupation | Fireman |
| Address | Corney Town, Lithgow, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs R Cox, Corney Town, Lithgow, New South Wales |
| Enlistment date | 2 February 1916 |
| Rank on enlistment | Private |
| Unit name | Light Trench Mortar Battery, Reinforcement 1 |
| AWM Embarkation Roll number | 13/130/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 9 September 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 4 July 1919 |
