| Regimental number | 1081 |
| Place of birth | Bankstown New South Wales |
| Religion | Protestant |
| Occupation | Labourer |
| Address | Chapel Street, St Mary's New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Henrietta Cook, Chapel Street, St Mary's New South Wales |
| Enlistment date | 16 May 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, C Company |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Ceramic on 25 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 27 September 1917 |