| Regimental number | 3623 |
| Place of birth | Fremantle, Western Australia |
| Religion | Congregational |
| Occupation | Storeman |
| Address | Brighton Beach, Victoria |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs M A Cook, 60 Clara Street, South Yarra, Victoria |
| Enlistment date | 22 March 1917 |
| Date of enlistment from Nominal Roll | 20 March 1917 |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 28th Reinforcement |
| AWM Embarkation Roll number | 10/9/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 22 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Light Horse Regiment |
| Fate | Returned to Australia 26 December 1918 |
| Date of death | 6 February 1970 |
| Age at death | 86 |
| Place of burial | Springvale Cemetery, Victoria |
