| Regimental number | 1279 |
| Place of birth | Walervale, South Australia |
| Religion | Methodist |
| Occupation | Teamster |
| Address | Careys Gully, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Ellen Cook, Careys Gully, South Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 11th Light Horse Regiment, 6th Reinforcement |
| AWM Embarkation Roll number | 10/16/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT SS Hawkes Bay on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Light Horse Regiment |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Summertown Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
