| Regimental number | 6480 |
| Place of birth | Williamstown, Victoria |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | No Fixed Address |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs G A Cook, 16 Illawarra Street, Williamstown, Victoria |
| Enlistment date | 8 September 1915 |
| Date of enlistment from Nominal Roll | 20 September 1916 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Battalion |
| Fate | Returned to Australia 11 May 1919 |
