| Regimental number | 16924 |
| Place of birth | Sydney New South Wales |
| Religion | Salvation Army |
| Occupation | Labourer |
| Address | Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, Henry Charles Cook, Stratford, New Zealand |
| Enlistment date | 30 June 1916 |
| Rank on enlistment | Sapper |
| Unit name | |
| AWM Embarkation Roll number | 22/17/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on 10 May 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 2nd Signal Troop Engineers |
| Fate | Returned to Australia 27 June 1919 |
