| Regimental number | 2612 |
| Place of birth | Leverton England |
| Religion | Church of England |
| Occupation | Railway fettler |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Father, C Cook, Leverton, Outgate, Boston, Lincolnshire, England |
| Enlistment date | 17 October 1914 |
| Rank on enlistment | Private |
| Unit name | Railway Supply Detachment, Army Service Corps 11 |
| AWM Embarkation Roll number | 25/35/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on 19 December 1914 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 8th Depot Unit of Supply |
| Fate | Effective abroad (still overseas) |