| Regimental number | 5368 |
| Religion | Church of England |
| Occupation | Engineer |
| Address | 'Craigielee', Coonamberra Road, Wahroonga, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Sister, Miss Osa Cooke, 'Craigielee', Coonamberra Road, Wahroonga, New South Wales |
| Enlistment date | 3 October 1915 |
| Rank on enlistment | Sapper |
| Unit name | 7th Field Company Engineers, Reinforcement 2 |
| AWM Embarkation Roll number | 14/26/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on 17 December 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |