| Regimental number | 1875 |
| Occupation | ... |
| Address | Maribyrnong Road, Moonee Ponds, Victoria |
| Marital status | Single |
| Age at embarkation | ... |
| Next of kin | Mother, Mrs Lilian Cook, Maribyrnong Road, Moonee Ponds, Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 4th Reinforcement |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Victorian Garden of Remembrance |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |
| Date of death |