| Regimental number | 2458 |
| Place of birth | Corowa, New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Yarding via Bruce Rock, Western Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Ellen Cook, Minnivale, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Place of enlistment | Perth, Western Australia |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 17th Reinforcement |
| AWM Embarkation Roll number | 10/15/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A52 Surada on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 15th Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
