| Regimental number | 66665 |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 2 Cavendish Street, Enmore, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, P A Cozens, 2 Cavendish Street, Enmore, Sydney, New South Wales |
| Previous military service | 5th Battalion 53rd Infantry |
| Enlistment date | 22 April 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 22 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema on 14 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
