| Regimental number | 4163 |
| Place of birth | Surrey England |
| Religion | Church of England |
| Occupation | Jam Trade |
| Address | 228 Stanley Street, West Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, Mr J Cook, 228 Stanley Street, West Melbourne, Victoria |
| Enlistment date | 9 August 1915 |
| Date of enlistment from Nominal Roll | 2 August 1915 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on 29 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Pioneer Battalion |
| Fate | Returned to Australia 28 March 1919 |
