| Regimental number | 2617 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 246 Albany Road, Victoria Park, Western Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, Edwin Cook, 246 Albany Road, Victoria Park, Western Australia |
| Enlistment date | 16 August 1915 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/45/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A38 Ulysses on 2 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 51st Battalion |
| Fate | Returned to Australia 21 March 1919 |
