| Regimental number | 1193 |
| Place of birth | Huntingtown England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Tongala, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs E Cussins, Tongala, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 8th Reinforcement |
| AWM Embarkation Roll number | 10/9/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A55 Kyarra on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 6th Field Artillery Brigade |
| Fate | Died of disease |
| Place of burial | Etretat Churchyard Extension (Plot III, Row F, Grave No. 9), France |
| Panel number, Roll of Honour, Australian War Memorial | 14 |
| Miscellaneous information from cemetery records | Parents: Henry and Elizabeth CUSSINS, Tongala, Victoria |