| Regimental number | 19539 |
| Place of birth | Birregurra, Victoria |
| Religion | Presbyterian |
| Occupation | Medical student |
| Address | Kew, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, Dr H W J Cook, 2 Studley Park Road, Kew, Victoria |
| Previous military service | M U R |
| Enlistment date | 31 October 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, October 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 5 June 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
