| Regimental number | 7214 |
| Place of birth | Harkaway, Victoria |
| Religion | Roman Catholic |
| Occupation | Carpenter |
| Address | Middle Brighton, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, T Cook, 176 St. Kilda Street, Middle Brighton, Victoria |
| Enlistment date | 13 October 1916 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 24th Reinforcement |
| AWM Embarkation Roll number | 23/23/6 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 19 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 6 June 1918 |