| Regimental number | 22030 |
| Place of birth | Noradjuha, Victoria |
| Religion | Methodist |
| Occupation | Farm labourer |
| Address | c/o W.H. Cook, Noradjuha, via Horsham, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, W.H. Cook, same address |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | Engineering Field Companies, General Reinforcements |
| AWM Embarkation Roll number | 14/42/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A34 Persic on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Miscellaneous information from cemetery records | Plaque in Victorian Garden of Remembrance |
| Date of death |