| Regimental number | 6488 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Wharf labourer |
| Address | 326 Crown Street, Surry Hills, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs. H. Cook, 340 Crown Street, Surry Hills, New South Wales |
| Enlistment date | 5 May 1916 |
| Date of enlistment from Nominal Roll | 3 May 1916 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 12 May 1919 |