| Regimental number | 2854 |
| Religion | Church of England |
| Occupation | Motor driver |
| Address | 155 Forrest Street, East Fremantle, Western Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs E V Cooke, 155 Forrest Street, East Fremantle, Western Australia |
| Enlistment date | 13 July 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A20 Hororata on 1 October 1915 |
