| Regimental number | 762 |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Amelia E Smith, Gipps Street, Arncliffe, New South Wales |
| Enlistment date | 7 October 1914 |
| Rank on enlistment | Sergeant Cook |
| Unit name | Australian General Hospital 2 |
| AWM Embarkation Roll number | 26/66/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A55 Kyarra on 28 November 1914 |
| Regimental number from Nominal Roll | 2557 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 25 January 1919 |