| Regimental number | 4147 |
| Place of birth | Newtown New South Wales |
| Religion | Church of England |
| Occupation | Mason |
| Address | 31 Dudley Street, Paddington, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, Mr. W. Cousins, 31 Dudley Street, Paddington, Sydney, New South Wales |
| Enlistment date | 26 August 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A6 Aeneas on 20 December 1915 |
| Regimental number from Nominal Roll | 4147A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 13 April 1919 |
