| Regimental number | 4763 |
| Place of birth | Hobart, Tasmania |
| Religion | Roman Catholic |
| Occupation | Steward |
| Address | 23 Upper Goulburn Street, Hobart, Tasmania |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs C Cook, 23 Upper Goulburn Street, Hobart, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A68 Anchises on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 46th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death | |
| Place of burial | Springvale Cemetery |