| Regimental number | 6969 |
| Place of birth | Harleston England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 42 Scott Street, Newcastle, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs W K Cox, 42 Scott Street, Newcastle, New South Wales |
| Enlistment date | 14 October 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 11 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 12 March 1918 |