| Regimental number | 4/1037 |
| Address | 102 Derwent Street, Island Bay |
| Marital status | Single |
| Next of kin | Father, A E Cousins, 102 Derwent Street, Island Bay, Wellington |
| Rank on embarkation | Sapper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 6th Reinforcements, New Zealand Field Engineers |
| Embarkation details | Unit embarked from Wellington on |
| Miscellaneous details | Nominal Roll Vol. 1: Field Engineers/Sixth |