| Regimental number | *6162 |
| Place of birth | Payneham, South Australia |
| Religion | Church of England |
| Occupation | Wheelwright |
| Address | 139 Rundle Street, Kent Town, South Australia |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs A M Cook, 139 Rundle Street, Kent Town, South Australia |
| Enlistment date | 9 August 1915 |
| Date of enlistment from Nominal Roll | 3 August 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Field Ambulance, 11th Reinforcement |
| AWM Embarkation Roll number | 26/46/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A47 Mashobra on 4 October 1915 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 2nd Field Ambulance |
| Fate | Returned to Australia 15 April 1918 |
