| Regimental number | 165 |
| Place of birth | Melbourne Victoria |
| Religion | Methodist |
| Occupation | Clerk |
| Address | Ascot Vale, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs O Cook, 217 St Leonards Road, Ascot Vale, Victoria |
| Previous military service | 56th Infantry |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | No 1 Australian General Hospital |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board A62 Wandilla on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
