| Regimental number | 1127 |
| Date of birth | |
| Place of birth | Bowden, South Australia |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Shangways Terrace, North Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mrs Emily Louisa Cook, Shangways Terrace, North Adelaide, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/27/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT Themistocles on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | 4th Pioneer Battalion |
| Promotions |
2nd Lieutenant Unit: 4th Pioneer Btn Promotion date: Lieutenant Unit: 4th Pnr Btn Promotion date: |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
