| Regimental number | 10/1 |
| Date of birth | |
| Place of birth | England |
| Religion | Church of England |
| Address | Matahira, Tuparo |
| Marital status | Single |
| Next of kin | Samuel Cousins, Marlingford near Norwich, Norfolk, England |
| Rank on embarkation | Lance Corporal |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, Main Body, Wellington Infantry Battalion |
| Embarkation details | Unit embarked from Wellington on board HMNZT 10 Arawa on |
| Final rank | Lance Corporal |
| Final unit | New Zealand Division Headquarters |
| Fate | Commenced return to New Zealand |
| Discharge date | |
| Other details |
War service: Egypt, Gallipoli, Western Front Commenced return to New Zealand from London on board SS 'Hororata', 1 February 1919; discharged (termination of period of engagement), 12 April 1919. Medals: 1914-15 Star, British War Medal, Victory Medal |
| Miscellaneous details | Nominal Roll Vol. 1: Wellington Infantry Batln/Main Body. No Attestation Form or Form B103 on file: scant details available. |
| Sources | Archives New Zealand (Wellington), Agency AABK, Series 18805, File 21898088 |