| Regimental number | 42 |
| Place of birth | Bathurst, New South Wales |
| Religion | Congregational |
| Occupation | Fireman |
| Address | Bathurst, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Elizabeth Cook, 112 Piper Street, Bathurst, New South Wales |
| Enlistment date | |
| Place of enlistment | Sydney, New South Wales |
| Rank on enlistment | Private |
| Unit name | Section 1 |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Broad Gauge Railway Operating Company |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death | |
| Place of burial | Rookwood Crematorium |