| Regimental number | 5 |
| Date of birth | |
| Place of birth | England |
| School | Educated in England. |
| Religion | Methodist |
| Occupation | Driver |
| Address | Millicent, South Australia |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Ethel Harriet Clark, 12 Payneham Road, St. Peters, South Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Sergeant Cook |
| Unit name | 43rd Battalion, Headquarters |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 43rd Battalion |
| Recommendations (Medals and Awards) |
Mention in Despatches Awarded, and promulgated, 'London Gazette', second Supplement, No. 29890 (2 January 1917); 'Commonwealth Gazette' No. 103 (29 June 1917). |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Disembarked Australia, 31 July 1917; discharged (medically unfit), 6 August 1917. Medals: British War Medal, Victory Medal |