| Regimental number | 2125 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Railway employee |
| Address | Bland Street, Haberfield, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Sarah Jane Cousins, Bland Street, Haberfield, New South Wales |
| Enlistment date | 26 April 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/18/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A63 Karoola on 16 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian Light Railway Operating Company |
| Fate | Returned to Australia 27 April 1919 |
