| Regimental number | 13458 |
| Place of birth | Adelaide, South Australia |
| Religion | Methodist |
| Occupation | Upholsterer |
| Address | Goodwood, South Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, A E Cook, Rushton Street, Goodwood, South Australia |
| Enlistment date | 25 September 1915 |
| Date of enlistment from Nominal Roll | 23 September 1915 |
| Rank on enlistment | Private |
| Unit name | Dental Details |
| AWM Embarkation Roll number | 26/105/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A29 Suevic on 31 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Dental Corps |
| Fate | Returned to Australia 21 June 1919 |
