| Regimental number | 6236 |
| Place of birth | Mortlake, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Berringa Post Office, Berringa, Victoria |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs C Cook, Berringa PO., Berringa, Victoria |
| Enlistment date | 2 May 1916 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 11 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Battalion |
| Fate | Returned to Australia 30 January 1918 |
