| Regimental number | 2644 |
| Place of birth | Charters Towers Queensland |
| Religion | Salvation Army |
| Occupation | Labourer |
| Address | Millchester Road, Charters Towers, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Mary Ann Georgina Cook, Millchester Road, Charters Towers, Queensland |
| Enlistment date | 5 June 1916 |
| Rank on enlistment | Private |
| Unit name | 52nd Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/69/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 52nd Battalion |
| Fate | Returned to Australia 21 November 1916 |