| Regimental number | 62539 |
| Place of birth | Surrey England |
| Religion | Church of England |
| Occupation | Station hand |
| Address | West Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, H Cook, 3 Tarragon Street, West Adelaide, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 6th General Service Reinforcements |
| AWM Embarkation Roll number | 23/111/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A36 Boonah on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
