| Regimental number | 3474 |
| Place of birth | Moora, Western Australia |
| Religion | Church of England |
| Occupation | Horse breaker |
| Address | Kayanaba via Dandaragan, Western Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, James Cook, Kayanaba via Dandaragan, Western Australia |
| Enlistment date | 28 May 1917 |
| Date of enlistment from Nominal Roll | 26 May 1917 |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 30th Reinforcement |
| AWM Embarkation Roll number | 10/15/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A55 Kyarra on 17 September 1917 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Machine Gun Squadron |
| Fate | Returned to Australia 10 July 1919 |
