| Regimental number | 61840 |
| Place of birth | Cobden, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Cobden, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, W Cook, Cobden, Victoria |
| Previous military service | 72nd Infantry |
| Enlistment date | 21 May 1918 |
| Rank on enlistment | Private |
| Unit name | 13th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Zealandic on 5 October 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |
