| Regimental number | 1963 |
| Place of birth | Causbrook, Victoria |
| Religion | Roman Catholic |
| Occupation | Wheelwright |
| Address | Mrs Caroline Cook, 62 Dudley Street, West Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 45 |
| Next of kin | Wife, Mrs Caroline Cook, 62 Dudley Street, West Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 8th Light Horse Regiment, 14th Reinforcement |
| AWM Embarkation Roll number | 10/13/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A1 Hymettus on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 12th Field Artillery Brigade |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
