| Regimental number | 253 |
| Place of birth | Burnside, South Australia |
| Religion | Baptist |
| Occupation | Labourer |
| Address | Clifton, Burnside, South Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Eliza Ann Cook, 'Clifton', High Street, Burnside, South Australia |
| Enlistment date | 10 January 1916 |
| Rank on enlistment | Private |
| Unit name | 43rd Battalion, B Company |
| AWM Embarkation Roll number | 23/60/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on 9 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 43rd Battalion |
| Fate | Returned to Australia 19 October 1918 |
