| Regimental number | 6801 |
| Place of birth | Adelaide, South Australia |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Wayville, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs M A Cook, 21 Rose Terrace, Wayville, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/44/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Light Trench Mortar Battery |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
