| Regimental number | 3496 |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Orrong Road, Elsternwick, Victoria |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Sister, Mrs. Moscow Cook, 'Werridgee,' Orrong Road, Elsternwick, Victoria |
| Enlistment date | 27 April 1917 |
| Rank on enlistment | Private |
| Unit name | 60th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/77/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Port Melbourne on 16 July 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 60th Battalion |
| Fate | Returned to Australia 7 June 1918 |
