| Regimental number | 6275 |
| Place of birth | Northam, Western Australia |
| Religion | Methodist |
| Occupation | Bank clerk |
| Address | Northam, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Emily Cook, Gordon Street, Northam, Western Australia |
| Previous military service | 25th ALH |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/44/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A35 Berrima on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | Australian Army Pay Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
