| Regimental number | 62786 |
| Place of birth | New Norcia, Western Australia |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Belgart, Western Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, Miss C Cook, 'Maisemore', Toodyay, Western Australia |
| Enlistment date | 15 January 1918 |
| Rank on enlistment | Private |
| Unit name | Western Australian Reinforcement 3 |
| AWM Embarkation Roll number | 23/111/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT Boonah on 29 October 1918 |
| Miscellaneous details (Nominal Roll) | Ship recalled owing to cessation of hostilities. |
| Other details | Medal: British War Medal |
