| Regimental number | 5363 |
| Place of birth | South Melbourne Victoria |
| Religion | Church of England |
| Occupation | Salesman |
| Address | 185 Hoddle Street, Collingwood, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs L Coxon, 185 Hoddle Street, Collingwood, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |