| Regimental number | 5059 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Fitter |
| Address | 410 Napier Street, North Fitzroy, Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Mable Elaine Cook, 410 Napier Street, North Fitzroy, Melbourne, Victoria |
| Enlistment date | 9 November 1915 |
| Rank on enlistment | Driver |
| Unit name | 2nd Field Company Engineers, Reinforcement 13 |
| AWM Embarkation Roll number | 14/21/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on 17 December 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 12th Field Company Engineers |
| Fate | Returned to Australia 21 July 1918 |