| Regimental number | 11049 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Carter |
| Address | Boulevarde, Sutherland, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, W Cook, Boulevarde, Sutherland, New South Wales |
| Previous military service | 38th Infantry |
| Enlistment date | 1 October 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 3, Reinforcement 14 |
| AWM Embarkation Roll number | 13/31/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 15 January 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Field Artillery Brigade |
| Fate | Returned to Australia 1 July 1919 |
