| Regimental number | 54172 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Hotelkeeper |
| Address | North Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs M A Cockbaine, 'Rhodesia', 19 Arthur Street, North Sydney, New South Wales |
| Enlistment date | 6 April 1918 |
| Rank on enlistment | Private |
| Unit name | 6th General Service Reinforcements (New South Wales) |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Feldmarschall on 19 June 1918 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | Artillery Details |
| Fate | Returned to Australia 9 February 1919 |
